K Number
K192510
Date Cleared
2020-03-20

(190 days)

Product Code
Regulation Number
872.3690
Panel
DE
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

A composite material which has resin organic and inorganic fillers as ingredients, which are being used for aesthetic restoration by getting polymerized directly in the oral cavity. - Direct anterior and posterior restorations

Device Description

The product belongs to Group 1, Class 2 of Type 1 according to the standard classification of ISO 4049. It is a nano hybrid typed light-curved complex resin for aesthetic restoration for both anterior and posterior parts, which is used for restoration that requires aesthetics through decay and damage in a form of paste with unpolymerized dimethacrylate monomer, inorganic filler, and photoinitiators mixed. That is, after recovering with the unpolymerized product, to make a hard restoration by polymerizing through dental visible-ray polymerizer.

AI/ML Overview

Here's a breakdown of the acceptance criteria and study information based on the provided text, where applicable:

1. Table of acceptance criteria and the reported device performance:

ItemAcceptance Criteria (Requirement)Reported Device Performance (Result)Pass/Fail
Depth of cureOpaque: not less than 1 mm
Non-opaque: not less than 1.5 mmOpaque: 2.8 mm (min value)
Non-opaque: 2.4 mm (min value)Pass
Sensitivity of ambient lightNo change in consistencyNo change in consistencyPass
Flexural strengthMore than 80 Mpa92.6 Mpa (min value)Pass
Water sorptionLess than 40 µg/mm³5.7 µg/mm³ (max value)Pass
SolubilityLess than 7.5 µg/mm³0.7 µg/mm³ (max value)Pass
ColorColor of samples shall be matched closely with the manufacturer's shade guideColor of samples was matched closely with the manufacturer's shade guidePass
Color stabilityNo color changeNo color changePass
Radio-opacityEquivalent to not less than 3 mm of aluminumNot less than 3 mm of aluminumPass
BiocompatibilityBiocompatible, conforming to ISO 10993 (implied acceptance for each specific test)Confirmed through various ISO 10993 tests (Cytotoxicity, Oral mucosa irritation, Skin sensitization, Acute Systemic Toxicity, Genetoxicity: Bacterial Reverse Mutation, Genetoxicity: Micronucleus test)Pass
Performance Standard (General)Meet ISO 4049 standardMeet ISO 4049 standard (stated directly)Pass

2. Sample size used for the test set and the data provenance:

The document describes non-clinical performance data and biocompatibility tests. It does not specify the exact sample sizes for each of these tests, nor the country of origin of the data. It is implicitly retrospective as it's a submission for regulatory clearance based on completed tests.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

Not applicable. The tests described are non-clinical, laboratory-based performance and biocompatibility studies, not studies involving expert interpretation or "ground truth" derived from human assessment in the way that would apply to, for example, medical imaging or diagnostic devices.

4. Adjudication method for the test set:

Not applicable. This is not a study requiring adjudication of expert interpretations.

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. This device is a dental restorative material (tooth shade resin), not an AI-powered diagnostic or assistive tool.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

Not applicable. This device is a dental restorative material, not an algorithm.

7. The type of ground truth used:

For the non-clinical performance tests, the "ground truth" is established by the specifications and acceptance criteria defined in the harmonized standards (e.g., ISO 4049). For biocompatibility, the "ground truth" is determined by meeting the specified endpoints and requirements of the relevant ISO 10993 standards (e.g., no cytotoxicity, no irritation, etc.).

8. The sample size for the training set:

Not applicable. This is a material device, not a machine learning model.

9. How the ground truth for the training set was established:

Not applicable. This is a material device, not a machine learning model.

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.