K Number
K240597
Device Name
TERA HARZ CLEAR
Manufacturer
Date Cleared
2024-03-05

(1 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

TERA HARZ CLEAR is intended for the treatment of tooth malocclusions in patients with permanent dentition (i.e, all second molars). Utilizing a series of increments, it sequentially positions teeth by way of continuous gentle force. TERA HARZ CLEAR is intended exclusively for professional dental work. Fabrication of aligner with TERA HARZ CLEAR requires an additive manufacturing system (AMS) that includes compatible with the following :
Design:
Scanner 3Shape A/S TRIOS 3 Basic
Design software 3Shape A/S 3Shape Ortho System™
Printing:
3D Printer UNIZ SLASH 2
UNIZ Nbee
SprintRay Inc. SprintRay Pro 95
Post-Curing:
Post-cure unit CureM U102H
Tera Harz Cure THC

Device Description

TERA HARZ CLEAR is a series of clear aligners that are used to replace traditional orthodontic wires and brackets for the alignment of maloccluded or misaligned teeth. TERA HARZ CLEAR have 3 models : TC-85DAC, TR-07, TA-28. This series of aligner is intended for the treatment of tooth malocclusions in patients with permanent dentition (i.e., all second molars) by moves the teeth gently, and in small increments, from their original to their final treated position for improved dental alignment. This series of aligner is worn for approximately 1 week of 20 to 22 hours per day after (However, there are to be removed for eating and for cleaning) which it is replaced by the next stage aligners and are designed to be used in a sequence. This is repeated for duration as prescribed by the dental clinician. TERA HARZ CLEAR is a light-cured, methacrylate-based resin commonly can used in additive manufacturing for the production of dental structures such as sequential aligners. TERA HARZ CLEAR has stored in a black 1,000 g of HDPE bottle. It contains materials with colors of yellowish. This device is a liquid photo-curable material that is polymerized by UV laser at 405412 nm. It can be used to make a tooth model with a photo-curable polymer that is cured by ultraviolet light. The liquid UV curing resin is cured at a specific wavelength (395405 nm) by the photo-initiator contained in the resin. It is typically 100 um in thickness and is output at a resolution of 40 to 90 um on the x, y axis, and it is possible to produce threedimensional printed matter by curing lamination step by step a thickness of 100 um. However, scanner, design software, 3D printer and post-cure unit are not included with the device. These fabrications of TERA HARZ CLEAR are beginning with the dental clinician prescribing aligners to treat a patient's malocclusion, and decision to use methacrylate- based resins is made by the dental clinician. TERA HARZ CLEAR, an orthodontic appliance such as sequential aligner, is manufactured in a 3D printer that is compatible. The dental clinician can generate a digital file by scanning the patient's mouth directly using listed with Intraoral scanner under FDA Classification Product Code NOF, regulation872.3661. This digital file is a series of CAD files (.stl) for building models that can be used to fabricate aligners. Commonly used standard dental software is used by dental professionals to virtually design a sequential aligner and generate an industrystandard "STL" 3D dataset which reflects the intended shape and contour. The design software used is 3Shape Ortho System™ by 3Shape A/S (K180941). The specialized orthodontic treatment planning software has a 510k clearance for the intended use under FDA Classification Product Code PNN, regulation 872.5470. This software is used for management of 3D scanned orthodontic models, orthodontic diagnosis by measuring, analyzing, inspecting and visualizing 3D scanned orthodontic models, virtual planning of orthodontic treatments by simulating tooth movements, and design of sequential aligners based on 3D scanned orthodontic models. Once dental clinic manufacturing unit receive the data that *.stl CAD files of the treatment plan the 3D printer begins additive manufacturing. The dental clinician generates sequential 3D printed models replicating the approved treatment plan. The sequential aligner is 3D printed and cured in a post-cure unit. The fabricated aligners are cut to fit dentition, the cleaned and polished to remove rough edges by the dental clinician. The prescribing physician review and approves the sequential aligners areprovides them to the patient the confirming fit and design.

AI/ML Overview

The provided text describes the regulatory clearance of a dental device, "TERA HARZ CLEAR," an orthodontic plastic bracket (sequential aligner), by the FDA. The document focuses on demonstrating substantial equivalence to a predicate device, K180107 (Blue Sky Bio Aligner).

The information provided is primarily related to bench testing of material properties, rather than performance of an AI/ML algorithm or a multi-reader, multi-case study. Therefore, many of the requested points regarding AI/ML performance, ground truth establishment for AI models, and human reader studies (MRMC) are not applicable or cannot be extracted from this document.

Here's an analysis based on the provided text:

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

The acceptance criteria are primarily derived from the ISO 20795-2:2013 standard, "Dentistry - Base Polymers - Part 2: Orthodontic base polymers." The device performance is compared to these criteria and the predicate device.

Performance MetricAcceptance Criteria (ISO 20795-2:2013)Predicate Device (K180107) PerformanceTERA HARZ CLEAR (Subject Device) PerformanceDevice Meets Criteria?
Ultimate Flexural Strength≥ 50 MPaAvg. 51.7 MPaTC-85DAC: Avg. 58.04 MPaTA-28: Avg. 70.26 MPaTR-07: Avg. 75.74 MPaYes
Flexural Modulus≥ 1500 MPaAvg. 1560 MPaTC-85DAC: Avg. 1575 MPaTA-28: Avg. 1849 MPaTR-07: Avg. 1764 MPaYes
Solubility≤ 5 µg/mm³Avg. 1.67 µg/mm³TC-85DAC: Avg. 1.56 µg/mm³TA-28: Avg. 1.30 µg/mm³TR-07: Avg. 1.39 µg/mm³Yes
Water Sorption≤ 32 µg/mm³Avg. 17.51 µg/mm³TC-85DAC: Avg. 17.03 µg/mm³TA-28: Avg. 16.41 µg/mm³TR-07: Avg. 16.22 µg/mm³Yes
PrecisionStandard deviation < 0.150 mmAvg. 0.122 mmTC-85DAC: Avg. 0.086 mmTA-28: Avg. 0.079 mmTR-07: Avg. 0.084 mmYes
Freedom from porosityNo porosityNo porosityNo porosityYes
Surface characteristicsSmooth, hard and glossySmooth, hard and glossySmooth, hard and glossyYes
Shape capabilitySample edges reproducedSample edges reproducedSample edges reproducedYes
ColourTransparent without changingTransparent without changingTransparent without changingYes
AppearanceNo foreign materials, contaminations, or other hazardous defectsNo foreign materials, contaminations, or other hazardous defectsNo foreign materials, contaminations, or other hazardous defectsYes
BiocompatibilityCompliant with ISO 10993-1510k clearance for aligner material, no biocompatibility testing performedBiocompatible according to ISO 10993-1Yes

2. Sample size used for the test set and the data provenance

The document does not specify exact sample sizes for each mechanical test. It mentions:

  • "All test results of Flexural Strength, Flexural Modulus, Water Solubility, and Water Sorption was similar to that of the predicate device that meet the requirements of ISO 20795-2:2013."
  • "The TERA HARZ CLEAR were outputted by each different output condition and each flexural strength were measured and the evaluation criteria of the all the specimens were more than 50 MPa."
  • "All translational measurements were within 0.150 mm of the target input value...There were no statistical differences in the difference in the intended and measured values observed from any of the groups."

The testing was "bench testing" performed on the subject device and the predicate device. The document does not explicitly state the country of origin for the test data, nor whether it was retrospective or prospective. Given it's a 510(k) submission for a new device, the testing would generally be prospective for the subject device.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

This section is not applicable. The device is a physical orthodontic aligner, and the "ground truth" for the performance tests (e.g., flexural strength, solubility) is established by empirical measurements against established engineering and material science standards (ISO 20795-2:2013, ISO 10993). There were no human expert evaluations (e.g., radiologists interpreting images) involved in establishing the ground truth for these physical properties.

4. Adjudication method for the test set

Not applicable. This is not a study involving human interpretation or subjective assessment of a dataset that would require an adjudication method. The tests are objective measurements of physical properties.

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

Not applicable. This document is for a physical medical device (orthodontic aligner), not an AI/ML powered device that would involve human readers or AI assistance.

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

Not applicable. This is not a software algorithm; it is a physical device.

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

The "ground truth" for the performance characteristics of TERA HARZ CLEAR is based on international standards for dental materials (ISO 20795-2:2013) and biocompatibility standards (ISO 10993 series). This represents a type of objective, measurable ground truth based on established scientific and engineering principles. For manufacturing precision, the ground truth was the "target input value."

8. The sample size for the training set

Not applicable. This is not an AI/ML device that requires a training set.

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

Not applicable. This is not an AI/ML device that requires a training set or ground truth for training.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food & Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a sans-serif font.

March 5, 2024

Graphy Inc. % Dave Yungvirt CEO Third Party Review Group, LLC 25 Independence Blvd Warren, New Jersey 07059

Re: K240597

Trade/Device Name: Tera Harz Clear Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic plastic bracket Regulatory Class: Class II Product Code: NXC Dated: March 3, 2024 Received: March 4, 2024

Dear Dave Yungvirt:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Michael E. Adjodha -S

Michael E. Adjodha, MChE, RAC, CQIA Assistant Director DHT1B: Division of Dental and ENT Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K240597

Device Name TERA HARZ CLEAR

Indications for Use (Describe)

TERA HARZ CLEAR is intended for the treatment of tooth malocclusions in patients with permanent dentition (i.e, all second molars). Utilizing a series of increments, it sequentially positions teeth by way of continuous gentle force. TERA HARZ CLEAR is intended exclusively for professional dental work. Fabrication of aligner with TERA HARZ CLEAR requires an additive manufacturing system (AMS) that includes compatible with the following :

BrandType
Design:
Scanner3Shape A/STRIOS 3 Basic
Design software3Shape A/S3Shape Ortho System™
Printing:
3D PrinterUNIZSLASH 2
UNIZNbee
SprintRay Inc.SprintRay Pro 95
Post-Curing:
Post-cure unitCureMU102H
Tera Harz CureTHC
Type of Use (Select one or both, as applicable)
× Prescription Use (Part 21 CFR 801 Subpart D)Over-The-Counter Use (21 CFR 801 Subpart C)

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K240597 510(k) Summary For TERA HARZ CLEAR

[Complying with 21 CFR 807.92]

SUBMISSION SPONSOR l.

Graphy Inc. #603, #617, Ace Gasan Forhu, 225, Gasan digital 1-ro, Geumcheon-gu, Seoul, Republic of Korea Office Phone: +82-2-864-3056 Fax: 82-2-864-3057 Contact Person: Mr. Moon Soo Park, Assistant Manager of RA Team

II. SUBMISSION CORRESPONDENT

III. DATE PREPARED

December 05, 2022 (first) February 29 2024 (special)

IV. DEVICE

Trade or Proprietary Name:TERA HARZ CLEAR
Common or Usual Name:Sequential Aligner
Classification Name:Orthodontic plastic bracket (872.5470)
Regulatory Class:II
Product Code:NXC
Classification Panel:Dental

v. PREDICATE DEVICE

Primary Predicate Device: K180107, Blue Sky Bio Aligner/ Blue Sky Bio LLC (Class II) Referencee Device Dental LT Clear Resin (V2)/ Formlabs Inc. (Class I)

vi. DEVICE DESCRIPTION

TERA HARZ CLEAR is a series of clear aligners that are used to replace traditional orthodontic wires and brackets for the alignment of maloccluded or misaligned teeth. TERA HARZ CLEAR have 3 models : TC-85DAC, TR-07, TA-28

This series of aligner is intended for the treatment of tooth malocclusions in patients with permanent dentition (i.e., all second molars) by moves the teeth gently, and in small increments, from their original to their final treated position for

{4}------------------------------------------------

improved dental alignment. This series of aligner is worn for approximately 1 week of 20 to 22 hours per day after (However, there are to be removed for eating and for cleaning) which it is replaced by the next stage aligners and are designed to be used in a sequence. This is repeated for duration as prescribed by the dental clinician.

TERA HARZ CLEAR is a light-cured, methacrylate-based resin commonly can used in additive manufacturing for the production of dental structures such as sequential aligners.

TERA HARZ CLEAR has stored in a black 1,000 g of HDPE bottle. It contains materials with colors of yellowish. This device is a liquid photo-curable material that is polymerized by UV laser at 405412 nm. It can be used to make a tooth model with a photo-curable polymer that is cured by ultraviolet light. The liquid UV curing resin is cured at a specific wavelength (395405 nm) by the photo-initiator contained in the resin. It is typically 100 um in thickness and is output at a resolution of 40 to 90 um on the x, y axis, and it is possible to produce threedimensional printed matter by curing lamination step by step a thickness of 100 um.

However, scanner, design software, 3D printer and post-cure unit are not included with the device.

These fabrications of TERA HARZ CLEAR are beginning with the dental clinician prescribing aligners to treat a patient's malocclusion, and decision to use methacrylate- based resins is made by the dental clinician. TERA HARZ CLEAR, an orthodontic appliance such as sequential aligner, is manufactured in a 3D printer that is compatible.

The dental clinician can generate a digital file by scanning the patient's mouth directly using listed with Intraoral scanner under FDA Classification Product Code NOF, regulation872.3661.

This digital file is a series of CAD files (.stl) for building models that can be used to fabricate aligners. Commonly used standard dental software is used by dental professionals to virtually design a sequential aligner and generate an industrystandard "STL" 3D dataset which reflects the intended shape and contour. The design software used is 3Shape Ortho System™ by 3Shape A/S (K180941). The specialized orthodontic treatment planning software has a 510k clearance for the intended use under FDA

Classification Product Code PNN, regulation 872.5470. This software is used for management of 3D scanned orthodontic models, orthodontic diagnosis by measuring, analyzing, inspecting and visualizing 3D scanned orthodontic models,

{5}------------------------------------------------

virtual planning of orthodontic treatments by simulating tooth movements, and design of sequential aligners based on 3D scanned orthodontic models.

Once dental clinic manufacturing unit receive the data that *.stl CAD files of the treatment plan the 3D printer begins additive manufacturing. The dental clinician generates sequential 3D printed models replicating the approved treatment plan. The sequential aligner is 3D printed and cured in a post-cure unit. The fabricated aligners are cut to fit dentition, the cleaned and polished to remove rough edges by the dental clinician. The prescribing physician review and approves the sequential aligners areprovides them to the patient the confirming fit and design.

vii. INDICATION FOR USE

TERA HARZ CLEAR is intended for the treatment of tooth malocclusions in patients with permanent dentition (i.e., all second molars). Utilizing a series of incremental tooth movements, it sequentially positions teeth by way of continuous gentle force. TERA HARZ CLEAR is intended exclusively for professional dental work. Fabrication of aligner with TERA HARZ CLEAR requires an additive manufacturing system (AMS) that includes compatible with the following:

BrandType
Design:
Intraoral scanner3Shape A/STRIOS 3 Basic
Design software3Shape A/S3Shape Ortho System™
Additive Manufacturing System:
3D PrinterUNIZSLASH 2
UNIZNbee
SprintRay Inc.SprintRay Pro 95
Post-Curing:
Post-cure unitCureMU102H
Tera Harz CureTHC

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COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE VIII. PREDICATE DEVICE

The indications for use and mechanism of action of subject device is identical to the predicate device and supports a determination of substantial equivalence.

However, there is a main difference in the predicate device because the materials of use and the manufacturing process are differed.

So, Dental LT Clear Resin (V2) is selected as a reference device to support method of processing and raw material.

So that. TERA HARZ CLEAR performed testing as that of each predicate device. All test results of Flexural Strength, Flexural Modulus, Water Solubility, and Water Sorption was similar to that of the predicate device that meet the requirements of ISO 20795-2:2013. The performance characteristics of the TERA HARZ CLEAR are comparable to those of the predicate device for this particular indication and raise no new or different questions of safety and effectiveness. Therefore, the subject device and the predicate device are substantially equivalent in physical properties.

Any differences in technology characteristics are accompanied by information that demonstrated the device is as safe and as effective as the predicate device and do not raise different questions of safety and effectiveness than the predicate. It was concluded, therefore, that the technological differences do not raise different questions of safety and effectiveness.

SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.-
Trade NameTERA HARZ CLEARBlue Sky Bio AlignerDental LT Clear Resin(V2)-
Device ClassificationNamealigner,sequentialaligner,sequentialMAINTAINER, SPACEPREFORMED,ORTHODONTIC-
Regulation Number21 CFR 872.547021 CFR 872.547021 CFR 872.5525Predicate device :sameReference device :different
Product CodeNXCNXCDYT, KMYPredicate device :sameReference device :different.
ClassIIIIIPredicate device :sameReference device :
SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificant Difference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.
Indications for UseTERA HARZ CLEARis intended for thetreatment of toothmalocclusions inpatients with permanentdentition(i.e., all second molars).Utilizing a seriesofincremental toothmovements, itsequentially positionsteeth by way ofcontinuous gentleforce.TERA HARZ CLEARis intended exclusivelyfor professional dentalwork. Fabrication ofaligner with TERAHARZ CLEARrequires anadditive manufacturingsystem (AMS) thatincludes compatiblewith the following:Blue Sky BioAlignersare a series of clear,lightweight, plasticappliances indicatedfor the treatment oftooth malocclusions inpatients withpermanent dentition(i.e., all secondmolars).Utilizing a series ofincremental toothmovements, itsequentially positionsteeth by way ofcontinuous gentleforce.Dental LT Clear Resin(V2) enables dentalpractices and labs torapidly manufacture arange of dentalproducts in-house,from biocompatiblesurgical guides andsplints to fixedprosthetic and clearaligner models.Similarities:Indicationsfor use of the subjectdevice is slightlydifferent from thepredicate device inphrase butfundamental indicationis the identical.However, thereference device isdifferent.
Mechanism of ActionOrthodontic toothmovement occursthrough forcesappliedto the teeth by theappliance to thedentition as each toothfollows theprogrammeddisplacement basedona dental healthprofessional'sprescription.The mechanism ofaction is similar tothepredicate devices andsupports adetermination ofsubstantialequivalence.Orthodontic toothmovement occursthrough forcesappliedto the teeth by theappliance to thedentition as each toothfollows theprogrammeddisplacement basedon a dental healthprofessional'sprescriptionUnknownSimilarities:Mechanism of actionofthe subject device isidentical from thepredicate device.However, referencedevice is unknown.
SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.
In Use DurationAligners are worn for approximately 1 week of 20-22 hours of wear per day, after which it is replaced by the next stage aligners. This is repeated for duration as prescribed by the dental clinician.UnknownUnknownDifference: Because the predicate device and reference device are unknown, we concluded that the predicate device and the subject device are different.
Materials of UseMethacrylate-based resinsEssix ThermoplasticMethacrylate-based resinsDifference: The predicate device and subject device is different. However reference device is similar in Methacrylate-based resins. so Dental LT Clear Resin(V2) is selected as a reference device to support raw material.
ManufacturingTechnologyAdditiveThermoformingAdditiveDifference: The predicate device and subject device is different. Since there are no products in the market that have the same manufacturing process as our aligners, Dental LT Clear Resin (V2) is selected as a reference device to support manufacturing process.
SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.-
DesignImage: clear alignersImage: clear alignerImage: clear alignerSimilarities: The archshape does notintroduce anyadditional safety orefficacy concerns.Dimensions of thearch form are in thesamerange.
Model-TC-85DAC-TA-28-TR-07UnknownUnknown-
Performance TestingISO 20795-2:2013Does not apply.ISO and ASTMSimilarities: Thisdoes not introduceadditional safety orefficacy concernsbecause subjectdevice and predicatedevice meet somerequirements fromISO 20795-2:2013.
Surface characteristicsThe surface of thesample was smooth,hard and glossy;The surface of thesample was smooth,hard and glossy.UnknownSimilarities:The specifications ofpredicate device are inthe same range. Thisminor variance doesnot introduceadditional safety orefficacy concernsbecause both devicesmeet requirementsfrom ISO 20795-2:2013.
SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.
Shape capabilitySample edgeswerereproduced;Sampleedges werereproduced.UnknownSimilarities:The specifications ofpredicate device arein the same range.This minor variancedoes not introduceadditional safety orefficacy concernsbecause bothdevices meetrequirements fromISO 20795-2:2013.
ColourTest sample wasexpressedtransparently withoutchanging;The color wasexpressedtransparentlywithout changing.UnknownSimilarities:The specifications ofpredicate device arein the same range.This minor variancedoes not introduceadditional safety orefficacy concernsbecause bothdevices meetrequirements fromISO 20795-2:2013.

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SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.
Freedom from porosityThere is no porosityThere is no porosity.Unknown.Similarities:The specifications of predicate device are in the same range. This minor variance does not introduce additional safety or efficacy concerns because both devices meet requirements from ISO 20795-2:2013.
Ultimate FlexuralStrength(≥50 MPa)TC-85DACAvg. 58.04 MPa;TA-28Avg. 70.26MPaTR-07Avg. 75.74MPaAvg. 51.7 MPaUnknownSimilarities:The ultimate flexural strength of subject device is equivalent to or better than the predicate device because the average value of the subject device' ultimate flexural strength was statistically significantly higher than that of the predicate device. This minor variance does not introduce additional safety or efficacy concerns because both devices meet requirements from ISO 20795-2:2013.

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SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.-
Flexural modulus(≥1500 MPa)TC-85DACAvg 1575 MPa;TA-28Avg. 1849MPaTR-07Avg. 1764MPaAvg. 1560 MPaUnknownSimilarities:The ultimate flexuralstrength of subjectdevice is equivalentto or better than thepredicate becausethe average valueof the subjectdevice' ultimateflexural strength wasstatisticallysignificantlyhigher than that ofthe predicate device.This minor variancedoes not introduceadditional safety orefficacy concernsbecause both devicesmeet requirementsfrom ISO 20795-2:2013.

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SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE DeviceSignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.-
Solubility(≤5 µg/mm³)TC-85DACAvg 1.56 µg/mm³TA-28Avg. 1.30 µg/mm³TR-07Avg. 1.39 µg/mm³Avg. 1.67 µg/mm³UnknownSimilarities:The specifications ofpredicate device arein the same range.This minor variancedoes not introduceadditional safety orefficacy concernsbecause both devicesmeet requirementsfrom ISO 20795-2:2013.
Water sorption(≤32 µg/mm³)TC-85DACAvg 17.03 µg/mm³TA-28Avg. 16.41µg/mm³TR-07Avg. 16.22 µg/mm³Avg. 17.51 µg/mm³UnknownSimilarities:The specifications ofpredicate device arein the same range.This minor variancedoes not introduceadditional safety orefficacy concernsbecause both devicesmeet requirementsfrom ISO 20795-2:2013.

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SUBJECT DevicePrimary PREDICATEDevice (K180107)REFERENCE Device(K203000)SignificantDifference
ManufacturerGraphy Inc.Blue Sky Bio LLCFormlabs Inc.
AppearanceNo evidence offoreign materials,contaminations, orany other defects thatshould be hazardousupon the usage.No evidence offoreign materials,contaminations, orany other defects thatshould be hazardousupon the usage.UnknownNo difference.
Precision(The standarddeviationis less than0.150)TC-85DACAvg.0.086/mmTA-28Avg.0.079/mmTR-07Avg.0.084/mmAvg. 0.122/mmUnknownSimilarities:The precision ofsubject device isequivalent to orbetter than thepredicate devicebecause the averagevalue of the subjectdevice' precision wasstatisticallysignificantlylowerthan that of thepredicate device.
BiocompatibilityBiocompatibleaccording toISO10993-1The material usedforthe Blue Sky Bioaligners has a 510kclearance as analigner material ,so nobiocompatibility testingwas performed.Biocompatibleaccording to ISO10993-1No difference.
OTC or RxRxRxRxNo difference.
SterileNot ApplicableNot ApplicableNot ApplicableNo difference.
Shelf-life2 year2 yearunknownsame

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IX. PERFORMANCE DATA

The following performance data were provided in support of the substantial equivalence determination.

Manufacturing Validation

A manufacturing validation was performed to demonstrate the manufacturing process for TERA HARZ CLEAR.

An independent 3rd party software and digital calipers were used to perform pointto- point and critical displacement measurement. All translational measurements were within 0.150 mm of the target input value, the predefined tolerance of the manufacturing process. There were no statistical differences in the difference in the intended and measured values observed from any of the groups. This test has met the pre-established acceptance criteria.

And the test also conducted studies on the effect of manufacturing validation and material reuse on the properties of the final finished device according to FDA's published guidance documents, "Technical Considerations for Additive Manufactured Medical Devices".

The TERA HARZ CLEAR were outputted by each different output condition and each flexural strength were measured and the evaluation criteria of the all the specimens were more than 50 MPa. The optimal output condition is that the output angle is 30°, and the output position is centered to confirming that the optimal condition is to be output.

In addition, it was confirmed that there was no problem in the number of effective outputs for repeated material output up to 7 times.

Performance Testing

Bench testing was performed to ensure the accuracy of the final product carried through the entire process from the initial intraoral scan through treatment planning and manufacturing process ofthe final finished aligner.

In addition, bench testing was conducted on both the subject device and the predicate device (Blue Sky Bio Aligner, K180107) to evaluate critical properties including Flexural Strength, Flexural Modulus, Water Solubility, Water absorption and etc. All met the requirements of ISO 20795-2:2013, Dentistry - Base Polymers - Part 2: Orthodontic base polymers.

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As a result, TERA HARZ CLEAR tested with three types of 3D prints and predicate device met the tests criteria according to ISO 20795-2:2013, Dentistry -Base Polymers - Part 2: Orthodontic base polymers.

The result of the performance comparison test demonstrates that TERA HARZ CLEAR is substantially equivalent to the predicate device in physical properties. Both devices meet requirements of ISO 20795-2:2013.

Biocompatibility

A biocompatibility discussion was conducted. The TERA HARZ CLEAR uses the methacrylate-based resin, and this material has been tested and shown to be compliant with the following standards:

  • -EN ISO 7405:2018, Dentistry - Evaluation of biocompatibility of medical devices usedin dentistry
  • -EN ISO 10993-1:2018, Biological evaluation of medical devices - Part 1: Evaluationand testing
  • -EN ISO 10993-3:2014, Biological evaluation of medical devices - Part 3: Tests forgenotoxicity, carcinogenicity and reproductive toxicity
  • EN ISO 10993-5:2009, Biological evaluation of medical devices Part 5: -Tests for invitro cytotoxicity
  • EN ISO 10993-10:2013, Biological evaluation of medical devices Part 10: -Tests forirritation and skin sensitization
  • -EN ISO 10993-11:2018, Biological evaluation of medical devices - Part 11: Tests forsystemic toxicity

X. CLINICAL DATA

Clinical performance data was not provided for TERA HARZ CLEAR.

xi. CONCLUSIONS

The TERA HARZ CLEAR is very similar to the predicate device and demonstrate substantial equivalence to predicate device K180107 in physical properties.

An analysis for subject device compared to the predicate device show TERA HARZ CLEAR and the Blue Sky Bio Aligner meet the requirements of Manufacturing Validation, all two devices share the same product code, meet the requirements, and all two are biocompatible.

In addition, an analysis for subject device compared to the predicate device show TERA HARZ CLEAR and the Blue Sky Bio Aligner meet the requirements of ISO 20795-2:2013, Dentistry – Base Polymers – Part 2: Orthodontic base polymers. All two devices meet or exceed the minimum strength requirements, and all two are biocompatible.

Any differences between subject device and the predicate device are material of use and method of processing. So reference device, which has same method of processing and is similar in material of use, is added to support material of use and method of processing.

§ 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.