ORION GX ALLOY

K032317 · Dentsply Intl. · EJT · Sep 30, 2003 · Dental

Device Facts

• Record ID: K032317
• Device Name: ORION GX ALLOY
• Applicant: Dentsply Intl.
• Product Code: EJT · Dental
• Decision Date: Sep 30, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3060
• Device Class: Class 2

Intended Use

ORION GX ALLOY is used for construction of MOD inlays, crowns, bridges, precision milling bars and attachments, and crowns and bridges for porcelain to metal technique.

Device Story

Orion GX Alloy is a yellow, high noble, gold-based dental alloy. It is used by dental professionals for the fabrication of restorative dental components, including MOD inlays, crowns, bridges, precision milling bars, and attachments, as well as porcelain-fused-to-metal restorations. The device is a material used in clinical dental practice; it does not involve electronic inputs, algorithms, or software. Its safety and effectiveness are supported by its formulation similarity to legally marketed dental alloys, historical use in Europe since 1978, and biocompatibility testing (cytotoxicity and AMES mutagenicity).

Clinical Evidence

No clinical data. Biocompatibility testing (cytotoxicity and AMES mutagenicity) was performed, finding the alloy non-cytotoxic and non-mutagenic.

Technological Characteristics

Yellow, high noble, gold-based dental alloy. Components are consistent with legally marketed dental alloys. No electronic or software components.

Indications for Use

Indicated for the construction of MOD inlays, crowns, bridges, precision milling bars and attachments, and crowns and bridges for porcelain fused to metal technique in dental patients.

Regulatory Classification

Identification

A noble metal alloy is a device composed primarily of noble metals, such as gold, palladium, platinum, or silver, that is intended for use in the fabrication of cast or porcelain-fused-to-metal crown and bridge restorations.

Special Controls

*Classification.* Class II (special controls). The special control for these devices is FDA's “Class II Special Controls Guidance Document: Dental Noble Metal Alloys.” The devices are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9. See § 872.1(e) for availability of guidance information.

Predicate Devices

• Degudent H Alloy (K821446)

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the word "DENTSPLY" in a bold, sans-serif font. The letters are all capitalized and black. The word is slightly stylized, with the "P" having a unique shape where the loop is replaced by a sharp angle.

NAME & ADDRESS:

SEP 3 0 2003

KO32377

## NTSPLY Internationa

0 West College Avenue J. Box 872 York, PA 17405-0872 [phone] ax [phone] www.dentsply.com

P. J. Lehn Telefax [phone]

P. Jeffery Lehn CONTACT:

July 25, 2003 DATE PREPARED:

ORION GX ALLOY TRADE OR PROPRIETARY NAME:

Gold-based alloy for clinical use (872.3060) CLASSIFICATION NAME:

PREDICATE DEVICES: Degudent H Alloy K821446

ORION GX ALLOY is a yellow. high noble, gold-based dental DEVICE DESCRIPTION: alloy.

INTENDED USE: ORION GX ALLOY is used for construction of MOD inlays, crowns, bridges, precision milling bars and attachments, and crowns and bridges for porcelain to metal technique.

TECHNOLOGICAL CHARACTERISTICS: All of the components found in ORION GX ALLOY have been used in legally marketed devices.

ORION GX ALLOY is very similar in formulation to legally marketed dental alloys. This alloy has been on the European market since 1978 with over 1.5 million units placed. ORION GX ALLOY was tested for Cytotoxicity and AMES mutagenicity and found to be non-cytotoxic and non-mutagenic. Therefore, it was determined that no further biocompatibility testing was necessary

We believe that the prior use of the components of ORION GX ALLOY in legally marketed devices, the performance data provided, the biocompatibility test results, and the historical use of the device in Europe support the safety and effectiveness of ORION GX ALLOY for the indicated uses.

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Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 3 0 2003

Mr. P Jeffery Lehn Director of Corporate Compliance and Regulatory Affairs Dentsply International 570 West College Avenue P.O. Box 872 York, Pennsylvania 17405-0872

Re: K032317

Trade/Device Name: Orion GX Alloy Regulation Number: 872.3060 Regulation Name: Gold-Based Alloys and Precious Metal Alloys for Clinical Use Regulatory Class: II Product Code: EJT Dated: July 25, 2003 Received: July 28, 2003

Dear Mr. Lehn:

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 such 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); 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.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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/dsma/dsmamain.html

Sincerely yours,

Susan Ronan

Susan Runner, DDS, MA Interim Director Division of Anesthesiology, General Hospital Infection Control and Dental Devices Office of Device Evaluation Center for Devices and

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## INDICATIONS FOR USE STATEMENT

(As Required by 21 CFR 807.87(e)

510(K) Number (if known):

Device Name:

ORION GX ALLOY

Indications for Use:

Construction of MOD inlays, crowns, bridges, precision milling bars and attachments, and crowns and bridges for porcelain fused to metal technique.

Mly. U. Su fa NBR

ivision Sinn-Off on of Anesthesiology, General Hospital, Infection Control, Dental Devices

510(k) Number: K032317

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Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use______

OR

Over-The-Counter Use

(Per 21 CFR 801.109)

(Optional Format 1-2-96)