(67 days)
Intended for use as a fiber reinforced root canal post
everStick™ POST is a semi-manufactured product made of glass fibers and polymer/resin matrix. The glass fiber in everStick™ POST is unidirectional which increases the strength and stiffness of the final product perpendicular to the direction of the fibers.
This submission pertains to the everStick™ POST, a glass fiber root canal reinforcement device. The 510(k) summary provided does not contain the detailed performance study information typically found in a clinical study report for evaluating acceptance criteria and device performance in the context of an AI/ML medical device.
The document is a traditional 510(k) premarket notification for a medical device (a physical product) and therefore does not include the elements you've requested that are specific to AI/ML device studies.
Here's why the requested information cannot be extracted from the provided text:
- Acceptance Criteria & Reported Performance: The document states that the device is substantially equivalent to a predicate device (everStick™ K011788) with the same composition and technological characteristics, save for a slight difference in fiber/matrix ratio. It also states that the second predicate device (Ribbond K913040) has the same intended use but different technological characteristics that "do not raise new questions of safety and effectiveness." This implies that the acceptance criteria are primarily related to safety and effectiveness demonstrated through substantial equivalence to existing, legally marketed devices, rather than specific performance metrics from a comparative study. No specific numerical performance metrics are provided.
- Sample Size (Test Set) and Data Provenance: Not applicable, as this is not a study involving a test dataset for an AI/ML model.
- Number of Experts & Qualifications (Ground Truth): Not applicable. The ground truth for this type of device is established through material science testing and clinical experience with similar products, not expert consensus on image interpretation.
- Adjudication Method: Not applicable.
- Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study: Not applicable.
- Standalone (Algorithm Only) Performance: Not applicable, as this is a physical medical device, not an algorithm.
- Type of Ground Truth: For this device, the "ground truth" would be established through material property testing (e.g., strength, stiffness, biocompatibility) and clinical data/experience with the predicate devices. The document explicitly mentions comparing ingredients to "existing data available from dental polymerizable material" to state it "does not expose the dentist or the patient to unacceptable risks."
- Sample Size for Training Set: Not applicable.
- How Ground Truth for Training Set was Established: Not applicable.
Summary based on the provided document:
1. Table of Acceptance Criteria and Reported Device Performance:
| Acceptance Criteria (Implied by Substantial Equivalence) | Reported Device Performance |
|---|---|
| Safety: Device attributes (composition, materials) do not raise new questions of safety compared to predicate devices. | "everStick™ POST does not expose the dentist or the patient to unacceptable risks." (Based on comparison with existing dental polymerizable material data and composition similarity to predicate everStick™) |
| Effectiveness: Similar intended use and technological characteristics to predicate devices. | Substantially equivalent to everStick™ (K011788) and Ribbond (K913040) for glass fiber reinforcement in dentistry and as a fiber reinforced root canal post. |
| Technological Characteristics: Composition and physical properties are comparable to predicate devices. | "Composition of everStick™ POST is equal with its predicate device, everStick™ with the same technological characteristics. Only the ratio of glass fibers and polymer matrices are slightly different." |
2. Sample size used for the test set and the data provenance: Not applicable. This is not a study involving a test dataset in the context of AI/ML.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
4. Adjudication method for the test set: Not applicable.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
7. The type of ground truth used: Implied "ground truth" is based on material science testing, compositional analysis compared to approved predicate devices, and existing clinical data/experience with similar dental polymerizable materials and fiber reinforcement products.
8. The sample size for the training set: Not applicable.
9. How the ground truth for the training set was established: Not applicable.
In conclusion, the K030820 submission is a standard 510(k) for a physical dental device. The "study" referenced for meeting acceptance criteria is implicitly the demonstration of substantial equivalence to predicate devices through compositional comparison and existing safety/effectiveness data for those predicates and similar materials, rather than a clinical trial with specific performance metrics against a defined ground truth derived from expert consensus or pathology, as would be common for AI/ML devices.
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KO308do
510(k) Summary F.
| Applicant: | Stick Tech Ltd, PO Box 114, 20521 Turku, Finland |
|---|---|
| Tel: +358-2-4808 2558 | |
| Fax: +358-2-241 0032 | |
| Contact Person: | Ilkka Kangasniemi, Ph.D. |
| U.S. Agent to respond toFDA requests: | William M. Troetel, Ph.D.80 Parkway WestMount Vernon, NY 10552Tel: (914) 664-1640Fax: (914) 667-3993wtroetel@westnet.com |
| Date Prepared: | March 17th, 2003 |
| Device Trade Name: | everStick™ POST |
| Device Common Name: | Glass fiber root canal reinforcement |
| Device Classification Name: | Denture relining, repairing, or rebasing resin |
| (21 CFR §872.3760) |
Description of Device:
everStick™ POST is a semi-manufactured product made of glass fibers and polymer/resin matrix. The glass fiber in everStick™ POST is unidirectional which increases the strength and stiffness of the final product perpendicular to the direction of the fibers.
Intended use: Glass fiber reinforcement for dentistry
everStick™ POST is substantially equivalent to everStick™, approved under 510(k) number K011788 dated November 7, 2001 and Ribbond, approved under K913040 dated October7, 1991.
The composition of everStick™ POST is equal with its predicate device, everStick™ with the same technological characteristics. Only the ratio of glass fibers and
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polymer matrices are slightly different. The second predicate device Ribbond has the same intended use as everStick™ POST but different technological characteristics that do not raise new questions of safety and effectiveness.
By comparing the ingredients of everStick™ POST to the existing data available from dental polymerizable material it can be stated that everStick™ POST does not expose the dentist or the patient to unacceptable risks.
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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 circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling a stylized caduceus or a series of flowing lines, possibly representing human profiles or interconnectedness.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
MAY 2 0 2003
Stick Tech Limited C/O William M. Troetel, Ph.D. Regulatory Affairs Consultant 80 Parkway West Mount Vernon, New York 10552
Re: K030820
Trade/Device Name: everStick™ POST Regulation Number: 21 CFR 872.3810 Regulation Name: Root Canal Post Regulatory Class: I Product Code: ELR Dated: March 14, 2003 Received: March 14, 2003
Dear Dr. Troetel:
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 Cosnetic 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 - William M. Troetel, Ph.D.
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 (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.
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 (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. 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 (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours,
Suses Pinar
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
Enclosure
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Indications for Use Statement B.
1030820 510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________ Device Name: everStick™ POST Indications for Use:
Intended for use as a fiber reinforced root canal post ●
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use _X (Per 21 CFR 801.109) ાર
Over-the-Counter Use _
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(Optionai Format 1-2-96)
(Division Sign-Off) Division of Anesthesiology, General Hospital. tion Control. Dental Device
510(k) Number: K030820
§ 872.3810 Root canal post.
(a)
Identification. A root canal post is a device made of austenitic alloys or alloys containing 75 percent or greater gold and metals of the platinum group intended to be cemented into the root canal of a tooth to stabilize and support a restoration.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9.