K Number
K070700
Device Name
FREEALGIN
Manufacturer
Date Cleared
2007-04-25

(43 days)

Product Code
Regulation Number
872.3660
Panel
Dental
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

FREEALGIN is a conventional two-component (base/catalyst) polyvinylsiloxane (VPS) dental impression material intended to be placed on a preformed impression tray and used to reproduce the structure of a patient`s teeth and gums.

Device Description

FREEALGIN is a conventional two-component (base/catalyst) polyvinylsiloxane (VPS) dental impression material

AI/ML Overview

Here's an analysis of the provided text regarding acceptance criteria and a study for the Zhermack SpA Freealgin device:

Important Note: The provided document is a 510(k) clearance letter from the FDA for a dental impression material. It does not contain details about a study proving device performance against acceptance criteria in the way one would describe for, say, an AI/ML medical device. Instead, it states that the device is "substantially equivalent" to a legally marketed predicate device. This implies that its performance is expected to be similar to that predicate device and that it meets the general requirements for its classification (Class II).

Therefore, I will interpret your request in the context of what can be inferred or is typically expected for a device like this, rather than a direct presentation of study results as you might find for a software algorithm. The document primarily focuses on regulatory approval based on substantial equivalence.


Analysis of Acceptance Criteria and Study (Based on 510(k) context)

1. Table of Acceptance Criteria and Reported Device Performance

Since this is a 510(k) for a dental impression material, the "acceptance criteria" are likely to be related to physical and mechanical properties that demonstrate its suitability for its intended use and similarity to predicate devices. The document does not explicitly state a table of acceptance criteria or performance results from a specific study.

However, based on the nature of a dental impression material, typical performance metrics and their implied "acceptance" would be:

Performance Characteristic (Implied from Dental Impression Material)Acceptance Criteria (Implied for Substantial Equivalence)Reported Device Performance (Not explicitly stated in document, but implied by 510(k) clearance)
Material Properties:
- Setting TimeWithin clinically acceptable range; comparable to predicateWithin clinically acceptable range for polyvinylsiloxane (VPS) impression materials.
- Working TimeWithin clinically acceptable range; comparable to predicateSufficient for proper placement and manipulation.
- Elastic RecoveryHigh (e.g., >95%); comparable to predicateHigh elastic recovery to ensure accurate impression detail after removal.
- Shore A Hardness/ResilienceAppropriate for impression material; comparable to predicateSufficiently rigid to prevent distortion, yet flexible enough for removal.
- Tear StrengthHigh enough to prevent tearing during removalSufficiently high to allow for intact removal of impression from the mouth.
- Dimensional Stability (Accuracy)High (low linear change); comparable to predicateAccurately reproduces oral structures over time without significant distortion for model pouring.
- Hydrophilicity/WettabilityAdequate for detail reproduction in moist environmentsSufficient to capture fine details in the presence of saliva.
- Color/ContrastAdequate for visual inspection and detail differentiationVisible contrast for clinical use; free from significant color instability.
Biocompatibility:
- CytotoxicityNon-toxicPresumed non-toxic based on material composition and established safety of similar materials.
- SensitizationNon-sensitizingPresumed non-sensitizing.
- IrritationNon-irritatingPresumed non-irritating.
Ease of Use:
- MixabilityEasy to mix homogeneous pasteEasy to achieve a homogeneous mixture of base and catalyst.
- Flow/ViscosityAppropriate for application methodViscosity suitable for tray application and capturing fine details without voids.
Shelf Life/Stability:Maintain properties over labelled shelf lifeStable over the specified shelf life, retaining all critical material properties.

Note: The FDA's substantial equivalence finding indicates that Freealgin is as safe and effective as a predicate device. This implies that any studies conducted by the manufacturer, while not detailed in this public document, would have demonstrated that Freealgin meets the expected performance characteristics of a conventional VPS dental impression material to a degree comparable to existing, legally marketed devices.

2. Sample Size Used for the Test Set and Data Provenance

This information is not provided in the 510(k) clearance letter. For a dental impression material, testing would typically involve laboratory physical and mechanical property evaluations (e.g., measuring setting time, tear strength, dimensional stability, elastic recovery) and potentially ex-vivo or in-vitro models. The provenance of such data would be internal lab testing, likely conducted in an industrial setting, possibly at the manufacturer's R&D facilities.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

This type of information is not applicable or provided in the context of this 510(k) clearance. "Ground truth" established by experts is typically for diagnostic devices or AI/ML algorithms where expert interpretation is key. For a dental impression material, "ground truth" would relate to objective physical and mechanical measurements, rather than expert consensus on interpretation.

4. Adjudication Method for the Test Set

This is not applicable or provided. Adjudication methods like 2+1 or 3+1 are used for expert consensus in diagnostic studies, which is not the nature of the evaluation for a dental impression material.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done or mentioned. MRMC studies are generally performed for diagnostic imaging devices or software where human readers interpret medical images. This device is a physical dental impression material.

6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

No, this is not applicable. This device is a physical material, not an algorithm. Therefore, "standalone algorithm performance" is not a relevant concept here.

7. The Type of Ground Truth Used

For a dental impression material, the "ground truth" would be established by:

  • Objective Laboratory Measurements: Using standardized test methods (e.g., ISO standards for dental impression materials) to measure properties like setting time, tear strength, dimensional accuracy, elastic recovery, Shore A hardness, etc.
  • Biocompatibility Testing: In vitro assays for cytotoxicity, sensitization, and irritation.

8. The Sample Size for the Training Set

This information is not provided and is generally not applicable in the typical sense of AI/ML "training sets" for a physical medical device like an impression material. If "training set" refers to internal R&D iterations or optimization of the material formulation, that data would be proprietary and not included in a 510(k) clearance letter.

9. How the Ground Truth for the Training Set Was Established

Again, in the context of a physical impression material, a "training set" with an associated "ground truth" doesn't fit the AI/ML paradigm. If interpreted as internal development and validation, the ground truth would be established through:

  • Iterative Material Characterization: Scientists and engineers would formulate, test, and refine the material, comparing its physical and mechanical properties against desired specifications and existing predicate materials using the objective laboratory measurements described in point 7. This iterative process allows them to "train" their formulation to meet performance targets.
  • Quality Control Standards: Establishing and adhering to strict quality control standards during manufacturing to ensure consistency of the product.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Zhermack SpA C/O Mr. Gerald W. Shipps Regulatory Affairs Consultant Cascades Device Consulting Associates 19379 Blue Lake Loop Bend. Oregon 97702

APR 2 5 2007

Re: K070700

Trade/Device Name: Freealgin Regulation Number: 21 CFR 872.3660 Regulation Name: Impression Material Regulatory Class: II Product Code: ELW Dated: March 12, 2007 Received: March 13, 2007

Dear Mr. Shipps:

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 - Mr. Gerald W. Shipps

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 (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

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Sincerely yours,

Susan Rumor

Chiu S. Lin, PhD 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

510(k) Number (if known):

2

Device Name: FREEALGIN

Use: FREEALGIN is a conventional Indications for two-component (base/catalyst) polyvinylsiloxane (VPS) dental impression material intended to be placed on a preformed impression tray and used to reproduce the structure of a patient`s teeth and gums.

Prescription Use \

AND/OR

Over-The-Counter Use _

(Part 21 CFR 801 Subpart D)

(21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

Chis Or

Sion of Aneathanicialogy, General Hospital, Jon Control, Demal Devices

:x(k) Number. k φφφφφ

FREEALGIN Rev. 0 February, 26 2007

§ 872.3660 Impression material.

(a)
Identification. Impression material is a device composed of materials such as alginate or polysulfide intended to be placed on a preformed impression tray and used to reproduce the structure of a patient's teeth and gums. The device is intended to provide models for study and for production of restorative prosthetic devices, such as gold inlays and dentures.(b)
Classification. Class II (Special Controls).