CARBON FIBER BRIDGE, MODEL 28757

K031070 · Nobel Biocare AB · EBI · Jul 3, 2003 · Dental

Device Facts

• Record ID: K031070
• Device Name: CARBON FIBER BRIDGE, MODEL 28757
• Applicant: Nobel Biocare AB
• Product Code: EBI · Dental
• Decision Date: Jul 3, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 872.3760
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Carbon Fiber Bridge is indicated for use as a denture base material providing reinforcement of prosthetic reconstructions in the treatment of fully or partially edentulous patients in order to restore the patient's chewing function.

Device Story

Carbon Fiber Bridge serves as alternative to gold/metal frameworks for denture bases. Kit includes carbon fiber tube, 2-part polymer resin, and titanium retention wires. Laboratory process: carbon fiber tube placed over perforating tips on patient jaw model; fibers spread; titanium retention wires inserted; framework heat-polymerized; tube and wires trimmed; frame painted; prosthetic teeth attached with dental acrylic. Finished reconstruction placed in patient jaw by dental professional using standard endosseous implant/denture techniques. Provides structural reinforcement for prosthetic reconstructions.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Carbon fiber tube infused with 2-part polymer resin; titanium retention wires. Heat-polymerized framework. Form factor: kit-based laboratory fabrication. Non-electronic, non-software device.

Indications for Use

Indicated for fully or partially edentulous patients requiring reinforcement of prosthetic reconstructions to restore chewing function.

Regulatory Classification

Identification

A denture relining, repairing, or rebasing resin is a device composed of materials such as methylmethacrylate, intended to reline a denture surface that contacts tissue, to repair a fractured denture, or to form a new denture base. This device is not available for over-the-counter (OTC) use.

Predicate Devices

• Ribbond - Triaxial (K013881)
• Everstick™ (K011788)
• Stick™ (K003333)

Submission Summary (Full Text)

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(03)070

## 510(k) Summary of Safety and Effectiveness 1.4

| Submitted by: | Elizabeth J. Mason, Sr. Regulatory Affairs Specialist |
|----------------------------------------|-----------------------------------------------------------------------------|
| Address: | Nobel Biocare USA Inc.<br>22715 Savi Ranch Parkway<br>Yorba Linda, CA 92887 |
| Telephone: | [phone], ext. 7830 |
| Facsimile: | [phone] |
| Date of Submission: | April 2, 2003 |
| Classification Name: | Denture Relining, Repairing, or Rebasing Resin (21 CFR 872.3760) |
| Trade or Proprietary<br>or Model Name: | Carbon Fiber Bridge |
| Legally Marketed Device(s): | Ribbond - Triaxial (K013881)<br>Everstick™ (K011788)<br>Stick™ (K003333) |

## Device Description:

The Carbon Fiber Bridge provides an alternative to traditional gold/metal framework in the creation of denture bases. The Carbon Fiber Bridge is sold in the form of a kit and uses carbon fibers infused with a 2-part polymer, which when hardened together becomes the denture frame. The kit contains a carbon fiber tube, the 2-part polymer resin, titanium retention gloves and mask, and instructions for use.

The shape of the carbon fiber bridge is formed using a model of the patient's jaw. Laboratory cylinders and perforating tips are placed in the model. Using a mounting tool, the carbon fiber tube is placed over the perforating tips, piercing the tube and spreading the carbon fibers. Titanium retention wires are then placed in proposed teeth locations, and the framework is polymenzed by heat. After polymenzation, the carbon fiber tube and retention wires are trimmed. The carbon fiber frame is then painted, using standard laboratory materials, to a preferred color as desired by the laboratory and the prosthetic teeth are attached with common dental acrylic materials wrapped around the framework.

The finished prosthetic reconstruction is then ready to be placed in the patient's jaw using existing techniques in the placement of endosseous implants and dentures.

## Indications for Use:

The Carbon Fiber Bridge is indicated for use as a denture base material providing reinforcement of prosthetic reconstructions in the treatment of fully or partially edentulous patients in order to restore the patient's chewing function.

Nobel Biocare USA, Inc. Traditional 510(k) Notification Carbon Fiber Bridge April 2003

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Image /page/1/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal is circular and features the HHS logo in the center, which consists of a stylized caduceus with three lines representing the three branches of government. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged around the perimeter of the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Elizabeth J. Mason Sr. Regulatory Affairs Specialist

Nobel Biocare USA. Incorporated 22715 Savi Ranch Parkway Yorba Linda, California 92887

Re: K031070

Trade/Device Name: Carbon Fiber Bridge Regulation Number: 21 CFR 872.3760 Regulation Name: Denture Relining, Repairing, or Rebasing Resin Regulatory Class: II Product Codes: EBI Dated: April 02, 2003 Received: April 30, 2003

3 2003

JUL

Dear Ms. Mason:

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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Page 2 - Ms. Elizabeth J. Mason

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]. Additionally, for questions on the promotion and advertising of your device, 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 may be obtained 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,

Suser Runre

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

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## 1.3 Statement of Indications for Use

Page 1 of 1

510(k) number (if known):

KGi3ic7c

Device Name: Carbon Fiber Bridge

Indications for Use:

The Carbon Fiber Bridge is indicated for use as a denture base material providing reinforcement of prosthetic reconstructions in the treatment of fully or partially edentulous patients in order to restore the patient's chewing function.

(Please do not write below this line - Continue on another page if needed.)

… – – – – – – – – – – – – – – – – --------------------------------Concurrence of CDRH, Office of Device Evaluation (ODE)

(Optional Format 3-10-98)

Kee Mulry for NSR

(Division Sign-Off) ivision of Anesthesiology, General H Infection Control, Dental D

510(k) Number: K031070

Nobel Biocare USA, Inc. Traditional 510(k) Notification Carbon Fiber Bridge April 2003

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