K Number
K961210
Date Cleared
1996-06-19

(83 days)

Product Code
Regulation Number
878.3550
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

SAM Facial Implant materials are indicated for plastic and reconstructive surgery. No new intended uses or new indications will be implemented as a result of this submission's clearance.

Device Description

The only change that this optional manufacturing modification proposes is the creation of one or more tunnels within the implanted prosthesis. These tunnels provide additional sites for native tissue attachment and also facilitate in the placement of the implantable prosthesis. No new materials or technological characteristics are being introduced, the device's therapeutic effect is not altered and the proposed change to the manufacturing process has no deleterious iffects on the safety or efficacy of the devices when they are used as intended. These devices will still continue to meet all product specifications established for the original devices.

AI/ML Overview

This is a 510(k) premarket notification for a medical device, specifically the SAM® Facial Implant, and not an AI/ML-driven device. Therefore, many of the requested categories related to AI/ML device performance (like sample sizes for test/training sets, ground truth establishment, expert adjudication, MRMC studies, standalone performance, etc.) are not applicable here.

The submission focuses on a manufacturing modification to an existing device and aims to prove "substantial equivalence" to its predicate devices, rather than establishing numerical performance metrics against specific acceptance criteria in the way an AI/ML device would.

Here's how to address the request based on the provided text for a non-AI/ML device:

Acceptance Criteria and Study for SAM® Facial Implant (Manufacturing Modification)

CategoryDescription from Text
1. Acceptance Criteria & Reported Device PerformanceThe acceptance criteria are implicitly tied to proving "substantial equivalence" to the predicate devices. The key criteria for this modification are that the device:
  • Does not materially affect the devices.
  • Introduces no new materials or technological characteristics.
  • Does not alter the device's therapeutic effect.
  • Has no deleterious effects on safety or efficacy when used as intended.
  • Continues to meet all product specifications established for the original devices.
    Reported Performance: The "histological evaluation presented in Attachment 2" (not provided in the input) "reveals that the proposed modification will allow the devices to perform at least as well as the original devices." The submission concludes that the devices with the modification are substantially equivalent. |
    | 2. Sample size and data provenance (test set) | Not applicable in the context of an AI/ML test set. The study involves a histological evaluation of the modified device. The specific sample size for this evaluation is not provided in the summary, nor is the data provenance (e.g., in vivo animal study, in vitro testing). |
    | 3. Number of experts and qualifications (ground truth) | Not applicable. Ground truth as typically defined for AI/ML does not apply here. The evaluation would likely be performed by histopathologists or similar experts, but their number and specific qualifications are not detailed. |
    | 4. Adjudication method (test set) | Not applicable. No adjudication method in the AI/ML diagnostic sense is mentioned. |
    | 5. MRMC comparative effectiveness study | Not applicable. This is not an AI/ML device, and no MRMC study is mentioned. |
    | 6. Standalone performance | Not applicable. This concept applies to AI algorithms. The device itself is a physical implant. |
    | 7. Type of ground truth | For the purpose of substantiating the claim of "performance at least as well as the original devices," the "ground truth" would be derived from histological evaluation (likely examining tissue response, integration, and integrity) and potentially other in-vitro or in-vivo testing to ensure mechanical properties and biocompatibility are maintained based on established product specifications. |
    | 8. Sample size for training set | Not applicable. This is not an AI/ML device, so there is no "training set." |
    | 9. How ground truth for training set was established | Not applicable. This is not an AI/ML device. |

Summary of the Study:

The study presented to establish substantial equivalence for the modified SAM® Facial Implant is a histological evaluation. The details of this evaluation ("Attachment 2") are not provided in the summary, but it served to demonstrate that the device with the new manufacturing modification (creating intraprosthetic tunnels) performs "at least as well as the original devices." The core argument is based on the fact that no new materials or technological characteristics are introduced, the therapeutic effect is unaltered, and safety/efficacy are maintained. The focus is on demonstrating that the modification does not negatively impact the existing, cleared device.

§ 878.3550 Chin prosthesis.

(a)
Identification. A chin prosthesis is a silicone rubber solid device intended to be implanted to augment or reconstruct the chin.(b)
Classification. Class II.