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510(k) Data Aggregation

    K Number
    K151933
    Date Cleared
    2015-12-10

    (149 days)

    Product Code
    Regulation Number
    N/A
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    12TH MAN TECHNOLOGIES, INC.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The BRX PRO™ Bruxism Guard is indicated to protect the teeth and reduce damage caused by bruxing or nighttime grinding and reducing the noise associated with bruxing and grinding.

    Device Description

    The BRX PRO is a prescription dual arch bruxism guard which protects the teeth and reduces the damage caused by nighttime bruxism and reduces the noise of bruxing or nighttime grinding. The BRX PRO's two arch trays, when filled with impression material, cover approximately eight teeth on each of the upper and lower arches, thereby creating an air-gap between the posterior teeth that prevents tooth contact upon clenching. The two polycarbonate trays are connected in the front with a dual position stainless steel "T-bar" pin in the upper tray and a pair of stainless steel slots in the lower tray that can be set by the prescriber to maintain the BRX PRO trays in a neutral position by selecting one of four positions, while allowing for lateral mandibular movement.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the BRX PRO™ bruxism guard. This document primarily focuses on demonstrating substantial equivalence to predicate devices, rather than detailed performance studies with clinical outcomes. As such, the information typically found in acceptance criteria of a clinical performance study for an AI-powered device is not fully present.

    However, based on the provided text, I can infer and extract information related to the device's technical specifications and non-clinical testing.

    Here's a breakdown of the requested information based on the available text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided text details non-clinical acceptance criteria related to material properties and biological safety. There is no performance data related to clinical effectiveness (e.g., reduction in bruxing events or noise) in this document, as it focuses on substantial equivalence of the device as a physical product.

    Acceptance Criteria (Non-Clinical)Reported Device Performance
    Physical Characteristics:
    Flexural Modulus (≥ 2000 MPa)Pass
    Flexural Stress (≥ 65 MPa)Pass
    Water Absorption (≤ 32 µg/m³)Pass
    Water Solubility (≤ 1.6 µg/m³)Pass
    Charpy Notched Impact Strength (≥ 0.9 KJ/m²)Pass
    Biological Evaluation (ISO 10993 Series):
    Part 1: Risk Management ProcessPass
    Part 5: In vitro cytotoxicityPass
    Part 10: Irritation and skin sensitizationPass
    Other Applicable Standards:
    BS EN ISO 15223-1:2012 (Symbols)Pass
    BS EN ISO 20795-1:2013 (Dentistry - Base polymers)Pass

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

    The document describes non-clinical bench testing, not clinical trials with patient data. Therefore, there is no "test set" in the context of patient data, nor information on country of origin or whether data was retrospective or prospective. The "samples" would refer to material samples tested in the lab. The sample sizes for these material tests are not specified in the document.

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

    This information is not applicable as the document describes non-clinical bench testing of material properties and biological safety, not a clinical study requiring expert ground truth in the medical sense.

    4. Adjudication Method for the Test Set

    This information is not applicable for the same reasons as #3.

    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. This type of study is typically performed for diagnostic or AI-assisted devices where human interpretation is involved. The BRX PRO™ is a physical medical device (a bruxism guard), and its clearance is based on substantial equivalence to existing similar devices through non-clinical testing.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    This information is not applicable. The BRX PRO™ is a physical device, not an algorithm or AI software, so the concept of "standalone performance" for an algorithm doesn't apply.

    7. The Type of Ground Truth Used

    For the non-clinical tests described, the "ground truth" would be established by international standards and specifications (e.g., ISO for material properties, ISO for biological evaluation). The device's materials were tested against these pre-defined, objective chemical and physical properties.

    8. The Sample Size for the Training Set

    This information is not applicable. The BRX PRO™ is a physical medical device, not an AI/ML algorithm that requires a "training set" of data.

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

    This information is not applicable for the same reasons as #8.

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    K Number
    K142402
    Date Cleared
    2015-03-23

    (208 days)

    Product Code
    Regulation Number
    868.5870
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    12th Man Technologies, Inc.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The BigEasy™ Non-Rebreathing Valve is intended to assist in providing immediate life support (mouth to mask ventilation) to health emergency victims requiring oxygen support or cardiopulmonary resuscitation (CPR) rescue techniques.

    Device Description

    The BigEasy™ Non-Rebreathing Valve is a resuscitation valve designed for resuscitation using expired air for ventilation. It has fittings on the patient end that will adapt to standard masks (22mm ID) or endotracheal tubes (15mm OD) used for resuscitation. It provides a path for a rescuer to blow expired air into a mask or endotracheal tube through a silicone valve in the device and has a rigid one-way valve that directs exhaled air from the patient away from the rescuer. It also incorporates an oxygen inlet port on the rescuer's side of the valve for the adding of supplemental oxygen without requiring a separate adapter.

    AI/ML Overview

    The provided text describes the acceptance criteria and the study that proves the device meets those criteria for the BigEasy™ Non-Rebreathing Valve.

    Here's the breakdown of the information requested:

    1. A table of acceptance criteria and the reported device performance

    Acceptance Criteria CategoryAcceptance CriteriaReported Device Performance
    BiocompatibilityMeeting ISO 10993-1 requirements for Cytotoxicity, Irritation, and Sensitization.The BigEasy™ Non-Rebreathing Valve passed all required biocompatibility tests (Cytotoxicity, Irritation, Sensitization) based on ISO10993-1:2009/2010 and the 2013 FDA Guidance Document.
    Packaging and Assembly / ShippingMeeting packaging and assembly / shipping requirements.The BigEasy™ Non-Rebreathing Valve met the packaging and assembly / shipping testing acceptance criteria.
    EnvironmentalMeeting environmental requirements for storage and operation. (Specific ranges provided: Operating Temperature: -18°C to 50°C, Storage Temperature: -40°C to 60°C, Storage Relative Humidity: 10% to 95%)The BigEasy™ Non-Rebreathing Valve met the environmental requirements acceptance criteria. (Specific values: Operating Temperature: -18°C to 50°C, Storage Temperature: -40°C to 60°C, Storage Relative Humidity: 10% to 95% were also listed as specifications).
    Volatile Organic Compounds (VOCs), Ozone, CO, CO2 and Fine Particle DischargeMeeting TO-15 standards for VOCs and requirements for the discharge of other gases and particles below the standards' thresholds.The BigEasy™ Non-Rebreathing Valve met the requirements for VOCs, Ozone, CO, CO2, and Fine Particles.
    Materials SpecificationsMeeting materials specifications requirements.The BigEasy™ Non-Rebreathing Valve met the materials specifications acceptance criteria.
    Labeling VerificationMeeting labeling verification requirements.The BigEasy™ Non-Rebreathing Valve met the labeling verification acceptance criteria.
    Inlet and Outlet FittingsMeeting inlet and outlet fitting requirements (Standard 22mm ID for inlet, Standard 22mm OD/15mm ID for outlet).The BigEasy™ Non-Rebreathing Valve met the fittings acceptance criteria.
    Resistance to Inhalation and ExhalationMeeting resistance requirements after and during environmental exposure, vomitus contamination, water submersion, and mechanical displacement.The BigEasy™ Non-Rebreathing Valve met the resistance criteria. (Specific values: Inspiratory Resistance: 1.9 cm H2O at 50 LPM, Expiratory Resistance: 0.25 cm H2O at 50 LPM were also listed as specifications).
    Drop TestWithstanding a drop on a concrete floor from 1 meter.The BigEasy™ Non-Rebreathing Valve met the drop test requirements.
    Mean Concentration of Oxygen at 15 LPM and Circuit Backpressure at 30 LPMDetermining the mean oxygen concentration and backpressure during oxygen delivery.The BigEasy™ Non-Rebreathing Valve met the requirements for oxygen delivery.
    Assembly and ApplicationValidation that the device can be assembled and applied according to the Instructions For Use (IFU).Participants were able to perform the intended actions while following the IFU.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not explicitly state the sample sizes for each specific test or the data provenance (country of origin, retrospective/prospective). The studies are described as "Non-clinical test results" and "Bench Tests," which typically implies laboratory testing rather than human subject data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not provided. Given that the tests are primarily "Bench Tests" and "Biocompatibility Testing," they typically involve objective measurements against established standards, rather than expert interpretation for ground truth.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This information is not provided. The tests appear to be objective measurements against predefined standards, thus not requiring an adjudication method by human experts.

    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

    No MRMC comparative effectiveness study was done. This device is a non-rebreathing valve, which is a physical medical device, not an AI-powered diagnostic tool. The "performance testing" focuses on physical and material properties, not diagnostic accuracy with or without AI.

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

    A standalone performance evaluation was done, but it was for the physical device itself, not an algorithm. The device was tested independently against various physical, material, and operational standards.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The "ground truth" for the performance tests was based on established industry standards and regulations, such as:

    • AS 4259-1995 (Ancillary devices for expired air resuscitation)
    • ISO 13544-2:2002 (Respiratory Therapy Equipment – Part 2: Tubing and Connectors)
    • ISO 5356-1:2004 (Anaesthetic and Respiratory Equipment – Conical Connectors - Part 1: Cones and Sockets)
    • BS EN ISO 10651-4:2009 (Lung Ventilators – Part 4: Particular requirements for operator-powered non-rebreathing valves)
    • ISTA-2A:2011 (Packaged-Products weighing 150 lbs (68 kg) or Less)
    • ISO 10993-1:2009 COR 1 2010 (Biological Evaluation of Medical Devices – Part 1: Evaluation and Testing within a Risk Management Process)
    • FDA Guidance Document (Draft) (Reviewer Guidance on Face Masks and Shield for CPR)
    • BS EN ISO 15223-1:2012 (Medical Devices – Symbols to be used with Medical Devices Labels, Labelling and Information to be supplied– Part 1: General Requirements)
    • EPA-453/R-98-008B (Method TO-15, Determination Of Volatile Organic Compounds (VOCs) In Air)

    8. The sample size for the training set

    Not applicable. This is a physical medical device, not an AI algorithm requiring a 'training set.'

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

    Not applicable. There is no training set for this type of device.

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