Cleared Traditional

K202855 - Orthodontic Facemask
(FDA 510(k) Clearance)

Jun 2021
Decision
266d
Days
Class 2
Risk

K202855 is an FDA 510(k) clearance for the Orthodontic Facemask. This device is classified as a Headgear, Extraoral, Orthodontic (Class II — Special Controls, product code DZB).

Submitted by Ita.O Italian Orthodontic System S.R.L. (Villanova Di Castenaso, IT). The FDA issued a Cleared decision on June 21, 2021, 266 days after receiving the submission on September 28, 2020.

This device falls under the Dental FDA review panel. Regulated under 21 CFR 872.5500.

Submission Details

510(k) Number K202855 FDA.gov
FDA Decision Cleared SESE
Date Received September 28, 2020
Decision Date June 21, 2021
Days to Decision 266 days
Submission Type Traditional
Review Panel Dental (DE)
Summary Statement

Device Classification

Product Code DZB — Headgear, Extraoral, Orthodontic
Device Class Class II — Special Controls
CFR Regulation 21 CFR 872.5500

Similar Devices — DZB Headgear, Extraoral, Orthodontic

All 35
Reverse Pull Adjustable Facemask
K162543 · Sawbros Industries Pvt., Ltd. · Aug 2017
PROTRACTION FACE MASK, REVERSE PULL FACE MASK MODEL KM-PVS, KM-PIS, KM-PVM, KM-PIM, MODEL KM-FMS, KM-FML, KM-FMF
K111169 · Kwang Myung Daicom, Inc. · Oct 2011
KJ MASK
K103019 · Kj Meditech Co., Ltd. · Jun 2011
NITOM LOCKING FACEBOW
K052553 · Russell Samuels Orthodontic Design · Dec 2005
EQUA-PULL SAFETY RELEASE MODULE
K051751 · Ortho Technology · Jul 2005
KELES FACEMASK
K041718 · Great Lakes Orthodontics, Ltd. · Oct 2004