ELATION MB METAL REINFORCED PLASTIC BRACKET

K092030 · Dentsply Interntional · DYW · Jul 24, 2009 · Dental

Device Facts

• Record ID: K092030
• Device Name: ELATION MB METAL REINFORCED PLASTIC BRACKET
• Applicant: Dentsply Interntional
• Product Code: DYW · Dental
• Decision Date: Jul 24, 2009
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 872.5470
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Elation MB metal reinforced plastic brackets is indicated for orthodontic movement of natural teeth.

Device Story

Elation MB Metal Reinforced Plastic Brackets are orthodontic appliances used to facilitate tooth movement. The device consists of a plastic bracket body with a metal reinforcement and a mechanical lock base. It is an improvement over the previous Elation bracket (K942826), featuring a modified bonding base and tie wing design. The device is intended for use by dental professionals in a clinical setting. The brackets are bonded to natural teeth to apply force for orthodontic correction. The device components are composed of materials previously cleared for dental use, ensuring biocompatibility. The primary benefit is the provision of a reinforced orthodontic bracket for clinical tooth movement.

Clinical Evidence

No clinical data provided. Substantial equivalence is supported by the use of previously cleared materials and design modifications to a predicate device.

Technological Characteristics

Orthodontic plastic bracket with metal reinforcement. Features a mechanical lock bonding base and improved tie wing design. Materials are consistent with those used in legally marketed dental devices. Device is a passive mechanical component.

Indications for Use

Indicated for orthodontic movement of natural teeth in patients requiring orthodontic treatment.

Regulatory Classification

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.

Predicate Devices

• Elation (K942826)
• Mystique MB Ceramic Bracket (K082974)
• Allure MB Ceramic Brackets (K090454)

Submission Summary (Full Text)

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# (092030

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1 .

### 510(k) SUMMARY for Elation MB Metal Reinforced Plastic Brackets

- Submitter Information: DENTSPLY International Susquehanna Commerce Center 221 West Philadelphia Street York, PA 17405
# JUL 2 4 2809

DENTSPLY International World Headquarters Susquehanna Commerce Center 221 West Philadelphia Street York, PA 17405-0872 [phone] Fax [phone] www.dentsply.com

Contact Person: Helen Lewis 717-849-4229 Telephone Number: 717-849-4343 Fax Number:

2 July 2009 Date Prepared:

#### 2. Device Name:

- Elation MB Metal Reinforced Plastic Brackets . Proprietary Name:
- Classification Name: .

Bracket Plastic Orthodontic

- 872.5470
II

- CFR Number: . Device Class: .
- DYW . Product Code:

#### Sponsor's Predicate Device: 3.

| Company | Device | 510(k) Number | Date Cleared |
|----------------------------|--------------------------------|---------------|--------------|
| GAC International | Elation | K942826 | 12/14/1994 |
| DENTSPLY International Inc | Mystique MB Ceramic<br>Bracket | K082974 | 11/07/2008 |
| DENTSPLY International Inc | Allure MB Ceramic Brackets | K090454 | 03/20/2009 |

#### 4. Description of Device:

The marketed product Elation Metal Reinforced Plastic Brackets has a barrel polished bonding base. A modification has been made to replace the base with the previously tested mechanical lock base and an improvement in the tie wing, Elation MB Metal Reinforced Plastic Brackets.

- 5. Indications for Use:
Elation MB is indicated for orthodontic movement of natural teeth.

000009

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6.

# Description of Safety and Substantial Equivalence:

Technological Characteristics.

The Elation MB metal reinforced plastic brackets represents a modification to K942826.

All of the components found in Elation MB Metal Reinforced Plastic Brackets All of the components tound in Llation 112 norder were found safe for dental use.
have been used in legally marketed devices and/or were specition on the nave been used in legally markets co reast and the same composition as the Elation NID Metal Kennorood Flastro Enterestibility testing is not necessary:

We believe that the prior use of the component of Elation MB Metal Reinforced Plastic We believe that the prof as of the composited. The performance data provided, and the Brackets in legally marketed devices, the partiniates and provincess of Elation brocompationity catal Plastic Brackets for the indicated uses.

INTENSE

000010

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and three bars below it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 4 2009

Ms. Helen Lewis Director of Corporate Compliance and Regulatory Affairs DENTSPLY International Susquehanna Commerce Center 221 West Philadelphia Street, Suite 60 York, Pennsylvania 17405-0872

Re: K092030

Trade/Device Name: Elation MB Metal Reinforced Plastic Brackets Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Code: DYW Dated: July 2, 2009 Received: July 6, 2009

Dear Ms. Lewis:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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### Page 2- Ms. Lewis

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/cdrh/mdr/ 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 [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Susan Gunner

Susan Runner, D.D.S., M.A. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## INDICATIONS FOR USE STATEMENT

510(k) Number (if known): K09 2030

Device Name: Elation MB metal reinforced plastic brackets

Indications for Use:

Elation MB metal reinforced plastic brackets is indicated for orthodontic movement of natural teeth.

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)

Kevin Mulvey for MSR

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(Division Sign Off)

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K092030