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510(k) Data Aggregation

    K Number
    K210422
    Date Cleared
    2022-03-30

    (412 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    INTAI Surgical Mask is intended to be worn by operating room personnel and other general healthcare workers to protect both patients and healthcare workers against transfer of microorganisms, blood and body fluids, and particulate materials. This is a single use, disposable device and provided non-sterile.

    Device Description

    The INTAI Surgical Mask is single use, three-layers, flat-pleated masks with ear loops, and nose clip. The inner and outer layers are made of Non-woven fabric (Polypropylene), and the middle filter layer is made of a melt blown fabric (Polypropylene). The ear loops welded are used to keep the mask close to the mouth and the nose. The ear loops are made of Nylon. The nose clip, which is made by plasticity material (HDPE), contained in masks is in the layers of the surgical mask to allow the users to fit the facemask around their nose. The surgical mask are provided in one color (blue), non-sterile and intended to be single use, disposable device.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device, specifically the INTAI Surgical Mask. It details the device's characteristics and its comparison to a legally marketed predicate device to demonstrate substantial equivalence.

    Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the provided text:

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

    The document presents the acceptance criteria and performance results directly in Table 2: Comparison of Performance testing on page 5 and the subsequent Summary of Non-Clinical Test table on page 6.

    ItemReported Device Performance (K210422)Acceptance Criteria (Level 3)Result
    Resistance to Penetration by Synthetic BloodAchieve a 4% AQL at 160mmHgAchieve a 4% AQL (29 out of 32 pass at 160mmHg)Pass
    Sub-Micron Particle Filtration Efficiency (PFE)≥98%≥98%Pass
    Differential Pressure
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    K Number
    K122804
    Date Cleared
    2013-05-20

    (249 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Royal-Dent Eureka Dental Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including: cemented retained, screw retained or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework. Royal-Dent Eureka Dental Implant System is for one and two stage surgical procedures. It's not for immediate load.

    Device Description

    Royal-Dent Eureka Dental Implant System is a multiple component device, made from CP Ti and Ti-6Al-4V, which allow the surgeon to build an implant system to fit the patient's requirements. The system is a set of implants designed to be inserted into the upper and/or lower jawbone and serves as a replacement for patient's tooth providing a stable foundation for restorations. The system is provided with simplified main implants, but with a variety of different styles of components. Eureka and Eureka Plus implant series are the sub-types incorporated into Royal-Dent Dental Implant System. The major difference between two implant sub-types is outer design configuration. The design configuration and features of inner hole for the sake of fitness to various screws and abutments are identical. The Implants are provided sterile, the remaining components must be sterilized prior to use.

    AI/ML Overview

    The provided text describes the 510(k) summary for the "Royal-Dent Eureka Dental Implant System." This document focuses on demonstrating substantial equivalence to predicate devices for regulatory approval, rather than a clinical study evaluating AI performance. Therefore, many of the requested criteria related to AI device performance evaluation, such as sample size for test sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, and training set details, are not applicable or cannot be extracted from this specific document.

    The document primarily details the device's characteristics, intended use, and pre-clinical bench and biocompatibility testing to show similarity to existing approved devices.

    Here's an analysis of the provided information based on your request:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" in the format of quantitative thresholds for performance metrics. Instead, "acceptance" is demonstrated through substantial equivalence to predicate devices and adherence to relevant ISO standards for bench and biocompatibility testing. The "reported device performance" is essentially that the device performed acceptably in these pre-clinical tests, supporting its safety and effectiveness.

    Criteria CategoryDetails Provided in Submission
    Substantial Equivalence to Predicate DevicesIndication for Use: "Royal-Dent Eureka Dental Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including: cemented retained, screw retained or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework. Royal-Dent Eureka Dental Implant System is for one and two stage surgical procedures. It's not for immediate load." (Identical or very similar to predicate devices, noting the subject device allows for one and two-stage procedures while predicates were for one-stage).

    Materials: "CP Ti : dental implant"; "Ti6Al4V: abutments, screws, healing caps, clix." (Similar to predicate devices which also use CP Ti and Ti6Al4V, though predicates also list Gold alloy + plastic for some components).

    Use: "Single use" (Same as predicate devices).

    Dimensions: Diameter: 3.5, 4.0, 4.3, 4.5, 5.0mm; Length: 8.5, 10,11.5,13,15mm (Similar to predicate devices, which have a slightly wider length range starting from 7.0mm).

    Method of Sterilization: "Gamma sterilization: implant; Abutments and accessories : non-sterile" (Same as predicate devices).

    Conclusion: "Based on the similarities between the Royal-Dent Eureka Dental Implant System and the predicate devices, the safety and effectiveness of the Royal-Dent Eureka Dental Implant System is substantially equivalent to the predicate devices." |
    | Pre-clinical Testing Results | Bench testing: Per ISO 14801 (Implied successful passing of this static and dynamic fatigue strength test for endosseous dental implants).

    Biocompatibility Testing:

    • Genotoxicity Testing per ISO 10993-3 (Implied acceptable results).
    • Cytotoxicity testing per ISO 10993-5 (Implied acceptable results).
    • Implantation testing per ISO 10993-6 (Implied acceptable results).
    • Sensitization testing per ISO10993-10 (Implied acceptable results).
    • System Injection testing per ISO10993-11 (Implied acceptable results).

    Conclusion: "Performance Testing were also conducted to demonstrate safety and effectiveness of the proposed devices." (This statement implies the tests met the required standards for safety and effectiveness). |

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

    This information is not applicable as this document describes the 510(k) clearance process for a dental implant system, not a study involving a "test set" for an AI device. The testing mentioned (bench and biocompatibility) refers to a mechanical and biological evaluation of the implant material and design, not an AI algorithm's performance on a dataset.

    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 applicable. There is no "ground truth" for a "test set" in the context of an AI device being evaluated. The evaluations were based on established ISO standards for material and mechanical properties.

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

    This information is not applicable for the reasons stated above.

    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

    This information is not applicable. This document is for a dental implant, not an AI device, so no MRMC study or AI assistance evaluation was conducted.

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

    This information is not applicable as the device is a physical dental implant, not an algorithm.

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

    This information is not applicable. The "ground truth" in this context refers to established scientific and engineering principles, and validated test methodologies defined by ISO standards for evaluating the physical and biological properties of medical devices.

    8. The sample size for the training set

    This information is not applicable as this is not an AI device.

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

    This information is not applicable as this is not an AI device.

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