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510(k) Data Aggregation

    K Number
    K090472
    Device Name
    GRIND GUARD
    Manufacturer
    Date Cleared
    2009-10-14

    (232 days)

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

    ARCHTEK, INC.

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

    Prescription indications: To protect against tooth damage bruxism and clenching caused by occlusal interferences, Provide short term relief from muscle spasm due to occlusal interferences, and Prevention of pain and chronic tension of temporomandibular joint syndrome components that are caused by chronic jaw clenching.

    Device Description

    The Grind Guard is appliance is to be worn at night, covering the teeth of the upper arch. It is composed of a soft, thermoformable material that is heated and briefly cooled and molded to fit user's upper teeth; shock-absorbing material cushions teeth on all sides. This device may not be used as an athletic mouth guard. This device should not be used by persons under the age of 18.

    AI/ML Overview

    The provided text does not contain detailed acceptance criteria or a specific study proving the device meets said criteria in the format requested. The document is a 510(k) summary for a medical device (Grind Guard), focusing on its substantial equivalence to predicate devices rather than reporting on a de novo clinical trial with specific performance metrics.

    Here's an analysis based on the information provided, highlighting what is present and what is missing:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Explicit quantitative acceptance criteria are not provided in the document.The device is stated to be effective for the relief of orofacial pain associated with temporomandibular disorders, as supported by an independent clinical study published by JADA. No specific metrics (e.g., percentage reduction in pain, success rate) are given.

    Missing Information: There are no explicit, quantifiable acceptance criteria (e.g., "device must reduce pain by X% in Y% of patients"). The document instead relies on a claim of "effectiveness" supported by a published study.

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

    • Sample Size for Test Set: Not specified. The document only states "An independent clinical study published by JADA supports the effectiveness."
    • Data Provenance (country of origin, retrospective/prospective): Not specified.

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

    • Number of Experts: Not applicable, as this device does not involve expert image interpretation or diagnosis. The "ground truth" would likely be patient-reported outcomes or clinical assessments.
    • Qualifications of Experts: Not applicable.

    4. Adjudication Method for the Test Set

    • Adjudication Method: Not applicable. Since this is not a diagnostic device requiring expert review of results, an adjudication method for a test set (like 2+1 for image interpretation) is not relevant to the information provided.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    • MRMC Study: No, an MRMC study was not done. The device is a "mouthguard, prescription" and not an imaging or diagnostic AI tool that would typically involve human readers.
    • Effect Size of Human Readers Improvement with AI vs. without AI Assistance: Not applicable, as it's not an AI-assisted diagnostic tool.

    6. Standalone (Algorithm Only Without Human-in-the-loop Performance) Study

    • Standalone Study: Not applicable. This is a physical medical device (mouthguard), not an algorithm or AI system.

    7. Type of Ground Truth Used

    • Type of Ground Truth: The document implies that the effectiveness was assessed through clinical outcomes, specifically "relief of orofacial pain associated with temporomandibular disorders." It does not specify whether this was patient-reported, physician-assessed, or a combination. The "independent clinical study published by JADA" would contain these details.

    8. Sample Size for the Training Set

    • Sample Size for Training Set: Not applicable. This device is a physical product, not a machine learning model, so there is no "training set."

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

    • How Ground Truth for the Training Set was Established: Not applicable, as it's not a machine learning model.

    Summary of Device-Specific Information from the Text:

    • Device Name: Grind Guard
    • Indications for Use:
      • Protect against tooth damage from bruxism and clenching due to occlusal interferences.
      • Provide short-term relief from muscle spasm due to occlusal interferences.
      • Prevention of pain and chronic tension of temporomandibular joint syndrome components caused by chronic jaw clenching.
    • Proof of Effectiveness: An independent clinical study published by JADA (Journal of the American Dental Association) is cited as supporting the device's effectiveness for relief of orofacial pain associated with temporomandibular disorders.
    • Predicate Devices: Archtek OTC Grind Guard (K073446) and SleepRight adjustable night guard (K071404). The Grind Guard is stated to be identical in design and material to K073446.

    In conclusion, the provided text from the 510(k) summary focuses on demonstrating substantial equivalence to predicate devices and referencing a published clinical study for effectiveness. It does not contain the granular detail about acceptance criteria, study design parameters (like sample sizes for test/training sets, expert qualifications, or ground truth establishment methods) that would be typical for a de novo submission or a detailed clinical study report, especially for AI/algorithm-based devices.

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    K Number
    K073446
    Device Name
    GRIND GUARD
    Manufacturer
    Date Cleared
    2008-02-08

    (63 days)

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

    ARCHTEK, INC.

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

    Protection against bruxism or nighttime teeth grinding; to reduce damage to teeth, and to prevent the noise associated with bruxism or grinding.

    Device Description

    The Grind Guard is appliance is to be worn at night, covering the teeth of the upper arch, as a protection for those who suffer form the night time grinding of the teeth. It is composed of a soft, thermoformable material that is heated and briefly cooled and molded to fit user's upper teeth: shock-absorbing material cushions teeth on all sides during nocturnal bruxing.

    AI/ML Overview

    The provided text is a 510(k) summary for the Grind Guard device. A 510(k) submission is typically for demonstrating substantial equivalence to a legally marketed predicate device, rather than proving a device meets specific acceptance criteria through extensive studies in the same way a novel high-risk device might.

    The information provided does not include a detailed study that defines "acceptance criteria" for the Grind Guard's performance or a study demonstrating the device meets such criteria. The submission focuses on showing substantial equivalence to a predicate device based on indications for use, technological characteristics, principle of operation, and material.

    Therefore, many of the requested items (sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, ground truth details, training set information) are not available in the provided text, as they are not typically required for a 510(k) submission of this type.

    Here’s a breakdown of what can be extracted and what is not present:


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

    No explicit acceptance criteria or reported device performance metrics (e.g., in terms of effectiveness for reducing bruxism, preventing tooth damage, or reducing noise)
    are provided in the document. The submission is based on substantial equivalence to a predicate device, implicitly meaning it is expected to perform similarly to the predicate without requiring a new detailed performance study.

    Acceptance CriteriaReported Device Performance
    Not specifiedNot specified

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

    Not applicable. No performance studies or test sets are described. The submission is based on comparison to a predicate device.

    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)

    Not applicable. No performance studies or ground truth establishment for a test set are described.

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

    Not applicable. No performance studies or test set adjudication are described.

    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. The Grind Guard is a medical device, not an AI software, and no comparative effectiveness study, MRMC, or human reader assistance is mentioned.

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

    Not applicable. The Grind Guard is a physical medical device, not an algorithm.

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

    Not applicable. No performance studies or ground truth are described. The basis for approval is substantial equivalence to the predicate device, which implies the predicate was deemed safe and effective for its stated indications.

    8. The sample size for the training set

    Not applicable. No training set is mentioned as this is a physical device, not an AI/ML algorithm.

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

    Not applicable. No training set or ground truth establishment for a training set is described.


    Summary of Device and Approval Process from the Text:

    • Device Name: Grind Guard
    • Intended Use: Protection against bruxism or nighttime teeth grinding; to reduce damage to teeth, and to prevent the noise associated with bruxism or grinding.
    • Device Type: Mouthguard, Over-the-Counter
    • Approval Method: 510(k) Premarket Notification, which demonstrates substantial equivalence to a predicate device.
    • Predicate Device: Doctor's Night Guard (K053580) by Dental Concepts.
    • Basis for Equivalence: Indications for use, general technological characteristics, principle of operation, and material.
    • Conclusion: The FDA reviewed the submission and determined the device is substantially equivalent to legally marketed predicate devices, allowing it to be marketed subject to general controls.
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