COMPOSITE ORTHODONTIC BRACKETS

K140807 · Ortho Specialties · DYW · Nov 12, 2014 · Dental

Device Facts

• Record ID: K140807
• Device Name: COMPOSITE ORTHODONTIC BRACKETS
• Applicant: Ortho Specialties
• Product Code: DYW · Dental
• Decision Date: Nov 12, 2014
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.5470
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

The Composite Brackets are intended for use as a clear, plastic bracket system to provide orthodontic movement of natural teeth.

Device Story

Composite Brackets are clear, polycarbonate orthodontic brackets used to correct mal-alignments in patients with permanent or mixed dentition. Brackets are bonded to teeth by dental professionals using traditional direct or indirect bonding techniques. The system includes brackets with or without metal archwire slots, and optional accessories like hooks for elastics or auxiliary tubes. Brackets apply incremental, progressive force via orthodontic archwires to reposition teeth. Used in clinical settings by dental practitioners; removal follows standard orthodontic procedures. Benefits include aesthetic, clear appearance during treatment.

Clinical Evidence

Bench testing only. Biocompatibility testing performed per ISO 10993-5 (in vitro mammalian cell culture) showed no evidence of cell lysis or toxicity (grade < 2). Oral mucosal irritation testing per ISO 10993-10 in hamsters confirmed the device is a non-irritant. Performance characteristics including shear bond and compressive strength were compared to predicates.

Technological Characteristics

Material: Polycarbonate. Form factor: Clear, plastic brackets with optional metal-reinforced slots. Manufacturing: Molded, thermo-formed. Application: Bonded to teeth using orthodontic adhesives. Features: Mechanical retention base; non-toxic ink for identification. No electronic components or software.

Indications for Use

Indicated for orthodontic movement of natural teeth in patients with permanent dentition (second molars) or mixed dentition to correct minor to complicated mal-alignments.

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 MB by Dentsply/GAC, Inc. (K092030)
• CDB Reflections Composite Bracket System (K973776)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized image of three faces in profile, stacked on top of each other. The faces are facing to the right. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in a circular arrangement.

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

November 12,2014

Ortho Specialties, Incorporated C/O Ms. Paula Wendland Regulatory Affairs Consultant 207 Pheasant Meadow Court Gurnee, IL 60031

Re: K140807

Trade/Device Name: Composite Brackets Regulation Number: 21 CFR 872.5470 Regulation Name: Orthodontic Plastic Bracket Regulatory Class: II Product Code: DYW Dated: September 22, 2014 Received: October 1, 2014

Dear Ms. Wendland:

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 - Ms. Wendland

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 (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 Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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 [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Susan Runno DDS, MA

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

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Image /page/2/Picture/0 description: The image contains a logo for "Ortho Specialties". The logo features the letters "OS" in a stylized font, with horizontal lines running through them. To the right of the letters, the words "ORTHO" and "SPECIALTIES" are stacked on top of each other in a bold, sans-serif font.

### SECTION 6.0 INDICATIONS FOR USE STATEMENT

Indications for Use

510(k) Number (if known): _ K140807

Device Name:

Indications for Use:

The Composite Brackets are intended for use as a clear, plastic bracket system to provide 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)

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Image /page/3/Picture/0 description: The image is a logo for "Ortho Specialties". The logo features the letters "OS" in a stylized font, with horizontal blue lines running through them. To the right of the letters, the words "Ortho Specialties" are written in a simple, sans-serif font, also in blue. A thin blue line runs along the bottom of the logo.

#### Section 5.0 510 (k) Summary

Note: This summary is provided in accordance with 21CFR807.92(c).

| 510(k) Owners Name: | Ortho Specialties, Inc.<br>Tim Allesee, President/Owner |
|-----------------------|----------------------------------------------------------|
| Address: | 3820 Ohio Ave. Suite 15<br>Saint Charles, IL 60174 USA |
| Contact Phone Number: | 224-420-0125 |
| Fax Number: | 630-443-0224 |
| Contact Person: | Paula Wendland, Regulatory Affairs Consultant (Preparer) |

Date 510(k) Summary was Prepared: March 22, 2014

Medical Device Name:

- Trade name Composite Brackets .
- Common name Plastic Orthodontic Brackets .
- Classification name -orthodontic plastic bracket (21CFR872.5470, Product . Code DYW, Class II Device)

# LEGALLY MARKETED DEVICES TO WHICH EQUIVALENCE IS CLAIMED (PREDICATE DEVICE) [807.92(a) (3)]:

- Elation MB TM by Dentsply/GAC, Inc. K092030 ●
- CDB Reflections Composite Bracket System, K973776 .

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Image /page/4/Picture/0 description: The image shows the logo for "Ortho Specialties". The logo consists of the letters "OS" stacked on top of each other on the left side of the image. The letters are made up of horizontal blue lines. To the right of the letters is the text "Ortho Specialties" in blue font.

# 5.1 DESCRIPTION OF THE APPLICANTS DEVICE:

Composite brackets provide a clear, aesthetic option for patients undergoing orthodontic treatment. The Composite Bracket system is designed to provide simple, aesthetic bonded brackets to correct minor to complicated mal-alignments in patients with permanent dentition (second molars) or mixed dentition using current orthodontic diagnosing techniques with orthodontic arch wires. The system consists of a series of clear, plastic brackets that conform to each tooth and its anatomy and adheres with a bracket base bearing a mechanical retention surface. They are provided with or without a metal archwire slot. Additional accessories to the brackets, depending on the dental professionals' technique, mav include small hooks for the use of elastics and auxiliary arch wire tubes. Each bracket applies incremental, progressive force to reposition teeth to achieve ideal alignment, as prescribed by the treating dental practitioner. The composite brackets are bonded to the patient's teeth by traditional orthodontic direct and indirect bonding techniques using Orthodontic adhesives. These techniques are understood and documented in formal, orthodontic literature.

Removal method of the composite brackets at the conclusion of treatment is consistent with standard bracket removal methods reported in orthodontic literature and require no additional instructions. The removal method is identical to those required for the predicate device.

The Composite Brackets will be marketed in bulk (for up to 5 full arches) using a circular tray dispenser with identification key for each bracket type and tooth position. The Composite brackets are also available in a clear, plastic tray for a single patient arch.

#### 5.2 INTENDED USE AND POPULATION:

The Composite Brackets are intended for use as a clear, plastic bracket system to provide orthodontic movement of natural teeth.

#### 5.3 PREDICATE DEVICE:

Dentsply Elation MB bracket system, 510(k) submission (K092030) dated 7/24/2009 is similar in intended use and compositional technology compared to the Composite Brackets described in this submission for brackets with metal reinforced slots.

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Image /page/5/Picture/0 description: The image shows the logo for Ortho Specialties. The logo consists of the letters "OS" in a stylized font, with the letters made up of horizontal blue lines. To the right of the letters, the words "ORTHO SPECIALTIES" are written in blue, with "ORTHO" on top of "SPECIALTIES". A blue line is present at the bottom of the logo.

CDB Reflections Composite bracket system, 510(k) submission (K973776), dated 11/21/1997 is similar in intended use compared to Composite Brackets described in this submission for brackets that do not contain metal reinforced slots.

# 5.4 TECHNOLOGICAL AND PERFORMANCE CHARACTERISTICS:

Performance Characteristics of COMPOSITE BRACKETS versus GAC Elation MB and CDB Reflections:

| Property | Composite<br>Brackets | GAC Elation MB | CDB Reflections |
|-------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | Plastic, Orthodontic<br>Bracket with or<br>without metal<br>reinforced slots for<br>alignment of teeth | Plastic, Orthodontic<br>Bracket with metal<br>reinforced slots for<br>alignment of teeth | Plastic, Orthodontic<br>Bracket without<br>metal reinforced<br>slots for alignment<br>of teeth |
| Composition | Polycarbonate | Polycarbonate | Polycarbonate |
| Aesthetic<br>Features | Clear (translucent)<br>bracket system | Clear (translucent)<br>Bracket System with<br>reinforced metal<br>slots | Clear (translucent)<br>bracket system |
| Mode of Use | Archwire<br>implementation by<br>dental<br>professional's<br>technique | Archwire<br>implementation by<br>dental professional's<br>technique | Archwire<br>implementation by<br>dental professional's<br>technique |
| Physical<br>Properties | Mechanical<br>Retention base<br>eliminating need<br>for plastic<br>condition pre-<br>treatment<br>Non-Toxic ink on<br>brackets for<br>identification | Mechanical<br>Retention base<br>eliminating need for<br>plastic condition pre-<br>treatment<br>Non-Toxic ink on<br>brackets for<br>identification | Base requires Plastic<br>Conditioner prior to<br>bonding with an<br>orthodontic adhesive.<br>Non-Toxic ink on<br>brackets for<br>identification |
| Application | Bonded | Bonded | Bonded |
| Manufacturing<br>Method | Molded, thermo-<br>formed | Molded, thermo-<br>formed | Molded, thermo-<br>formed |

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Image /page/6/Picture/0 description: The image shows the logo for "Ortho Specialties". The logo consists of the letters "OS" stacked on top of each other, with the "O" on top and the "S" on the bottom. The letters are made up of horizontal blue stripes. To the right of the letters is the text "ORTHO SPECIALTIES" in blue, with "ORTHO" on top and "SPECIALTIES" on the bottom.

### 5.5 Summary:

Composite Brackets of thermoplastic polycarbonate composition have been well documented in literature (Pithon M., Lacerda dos Santos R., Martins F., Ruellas A., Nojima L., Nojima M., Romanos, M. (2009) Cytotoxicity of Polycarbonate Orthodontic Brackets, Brazilian Journal of Oral Science, April/June 2009 -Volume 8, Number 2).

Cytotoxicity testing was conducted using the ISO 10993-5 Elution Method. The Composite Orthodontic Brackets were evaluated for potential cytotoxic effects using an in vitro mammalian cell culture test following the guidelines of ISO10993-5, Biological evaluation of medical device - Part 5: Tests for in vitro cytotoxicity. The Composite Orthodontic Brackets showed no evidence of causing cell lysis or toxicity and met the requirements of the test with a grade of less than grade 2 (Mild reactivity).

Oral Mucosal irritation testing was conducted using ISO 10993-10, Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization. The Composite Orthodontic Brackets were evaluated for potential to cause oral mucosal irritation in hamsters. The Composite Orthodontic Brackets were considered a nonirritant to the oral mucosa of the hamster.

Based on characteristics of intended use, application, composition, aesthetics and physical property testing showing similar shear bond and compressive strength, the Composite brackets are substantially equivalent to the predicate devices (Dentsply Elation MB and CDB Reflections Composite bracket systems).