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510(k) Data Aggregation

    K Number
    K232740
    Date Cleared
    2024-05-22

    (258 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Paltop Advanced Dental Solutions, Ltd

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

    Paltop Short Implants (Internal Hex and Conical Connections) are in surgical and restorative applications for placement in the bone of the upper or lower jaw as an artificial root structure for single tooth replacement or for fixed bridgework to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Paltop Short Implants are indicated to be used only with straight abutments and are for delayed loading only.

    Device Description

    The purpose of this submission is for the marketing clearance for the Paltop Short Implants which comprises endosseous root-form dental implants, cover screw, and compatible abutments.

    The Subject device abutments are compatible with prior cleared implant bodies, and abutments from prior clearances are compatible with new Subject device implant bodies. Subject device abutments are also compatible with previously cleared implant bodies in K112795. Subject device are compatible with straight abutments previously cleared in K112795, K131451, K220200, and K221381.

    Endosseous dental implants are surgically implanted into a patient's mouth to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Endosseous dental implant abutments are secured to dental implants with a retaining screw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function.

    The Paltop Short Implant System includes endosseous screw type dental implant bodies, which can be used in twostage surgeries with associated compatible abutments. The Subject device abutments provide a range of cementretained and screw-retained prosthetic solutions for dental implant restoration. Paltop Short Implant System includes six compatible implant abutment designs: Healing Caps, Straight, Temporary, Snap-On Abutment System (SAS) Abutment, and Straight Ball Abutment.

    The implant bodies, titanium abutments and cover screw are fabricated from a Titanium 4 Vanadium ELI titanium alloy (Grade 23) which conforms to ASTM F136, Standard Specification for Wrought Titanium-6Aluminum-4Vanadium EU (Extra Low Interstitial) Alloy for Surgical Implant Applications (UNS R56401). The Subject device implant bodies are surface treated with SLA (Sand-blasted, Large Grit, Acid Etched). The Snap On Abutment System(SAS) Abutments are supplied sterile with a PEEK cap.

    All implants and prosthetic components are one-time use device components are provided sterile and sterilized by gamma irradiation except for the replacement cover screws which are provided nonsterile. Devices provided as non-sterile are sterilized by steam.

    AI/ML Overview

    I am sorry, but the provided text does not contain the specific details about the acceptance criteria or a study proving the device meets those criteria. The document is an FDA 510(k) summary for Paltop Short Implants, which focuses on demonstrating substantial equivalence to predicate devices rather than presenting detailed acceptance criteria and study results for device performance in the way you've requested.

    The text does mention "Comparative testing in the form of Pull-Out, surface area and BIC testing was performed to ensure that the performance of the subject device is appropriate for its intended use," but it does not provide the acceptance criteria for these tests, nor does it present the reported device performance values from these tests. It also states that "static and dynamic testing were not required" because the device is not significantly different from predicate devices.

    Therefore, I cannot fulfill your request for the detailed table and study information as the necessary data is not present in the provided document.

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    K Number
    K220200
    Date Cleared
    2022-05-25

    (121 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Paltop Advanced Dental Solutions, Ltd

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

    The Paltop Conical Implant System is indicated for use in surgical and restorative applications for placement in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Narrow diameter implants are intended for placement in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws where the horizontal space is limited by the adjacent teeth and roots. The Paltop Conical Implant System is also indicated for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

    Device Description

    The Paltop Conical Implant System which comprises endosseous root-form dental implants, mating abutment screws, and other associated components for single-unit, multi-unit, and overdenture restorations. Endosseous dental implants are surgically implanted into a patient's mouth to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Endosseous dental implant abutments are secured to dental implants with a retaining screw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. The Paltop Conical Implant System implants are one- and two-stage endosseous screw type dental implants with associated compatible abutments, screws, and other associated accessory components. The Paltop Conical Implant System prosthetic components include healing caps, and multi-unit abutments which are available in straight or angulated configurations. Prosthetic devices used with the dental implant abutments in this submission may be screw-retained or cemented. The implants, titanium abutment screws are fabricated from a Titanium-6 Aluminum 4 Vanadium ELI titanium alloy (Grade 23) which conforms to ASTM F136, Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant Applications (UNS R56401). The Subject device implants are surface treated with SLA (Sand-blasted, Large Grit, Acid Etched). Immediate temporary abutments include a PEEK (Polyether ether Ketone) material sleeve, and the SAS abutment includes a PEEK healing cap/coping. All implants and prosthetic components are one-time use device components are provided sterile and sterilized by gamma irradiation except for Single-Unit and Multi-Unit copings, SAS Abutment components and all replacement screws which are provided non-sterile. Devices provided as non-sterile are sterilized by steam.

    AI/ML Overview

    The provided text describes the 510(k) submission for the "Paltop Conical Implant System." This document is a regulatory filing demonstrating substantial equivalence to previously cleared devices, not a study performing clinical validation against acceptance criteria for a new AI/CADx device.

    Therefore, most of the requested information (acceptance criteria for clinical performance, sample sizes for test/training sets, expert adjudication, MRMC studies, standalone performance, ground truth establishment, etc.) is not present in this document, as it pertains to a different type of device and regulatory submission.

    The document focuses on non-clinical performance testing (fatigue testing, biocompatibility, endotoxin testing, sterilization validation, and MRI compatibility) to demonstrate the device's mechanical and material properties are equivalent to the predicate devices.

    However, I can extract the information that is present and explicitly state what is missing based on the document's content:


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

    The document does not specify quantitative clinical performance acceptance criteria (e.g., sensitivity, specificity, AUC) because it's a dental implant, not a diagnostic AI device. Instead, it refers to non-clinical performance standards.

    Acceptance Criterion (Non-Clinical, General)Reported Device Performance
    Fatigue testing (per ISO 14801:2016)Performed according to requirements. "demonstrate suitability for intended use."
    Material Biocompatibility (per ISO 10993-1, 10993-5)Leveraged from predicate devices. "support suitable biocompatibility."
    Endotoxin testing (per USP and USP)Performed. "conformance with testing requirements."
    Sterilization validationLeveraged from predicate devices. "demonstrate suitable sterilization of the Subject device sterile components."
    MRI compatibilityReviewed using scientific rationale and published literature. "addressed parameters per the FDA guidance."
    Design and Dimensions (Equivalence to Predicates)"Slight differences in design dimensions do not affect the intended use of the device and are mitigated or supported through non-clinical performance testing results."

    2. Sample sized used for the test set and the data provenance

    • Test Set Sample Size: Not applicable. This document refers to non-clinical bench testing (e.g., mechanical fatigue, material properties), not a clinical trial with a test set of patient data.
    • Data Provenance: Not applicable for a clinical test set. The non-clinical testing appears to be conducted by the manufacturer, Paltop Advanced Dental Solutions, Ltd.

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

    • Not applicable. No clinical ground truth was established as this was a 510(k) submission for a physical device, based on non-clinical testing and substantial equivalence to predicate devices.

    4. Adjudication method for the test set

    • Not applicable. No clinical test set.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done

    • No. This type of study is for evaluating medical imaging AI. This document is for a dental implant.

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

    • Not applicable. This is not an AI algorithm.

    7. The type of ground truth used

    • Not applicable for clinical ground truth. The "ground truth" for this device's performance validation is based on engineering standards, material specifications, and regulatory guidelines (e.g., ISO 14801 for fatigue, ISO 10993 for biocompatibility).

    8. The sample size for the training set

    • Not applicable. There is no AI training set.

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

    • Not applicable. There is no AI training set.
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    K Number
    K210117
    Date Cleared
    2021-11-30

    (315 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Paltop Advanced Dental Solutions, Ltd

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

    The Paltop Narrow Implant is indicated for use in surgical and restorative applications for placement in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws where the horizontal space is limited by the adjacent teeth and roots, to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. The Paltop Narrow Implant is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

    Device Description

    This submission expands the Predicate Narrow Implant device to include 3.0 mm diameter implants, additional implant thread configurations and additional prosthetic components to the previously cleared Paltop Narrow Implant (K130462).

    Endosseous dental implants are surgically implanted into a patient's mouth to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Endosseous dental implant abutments are secured to dental implants with a retaining screw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function.

    Paltop Narrow Implant are one- and two-stage endosseous screw type dental implants with associated abutments. The implants, titanium abutment screws are fabricated from a Titanium-6 Aluminum 4 Vanadium ELI titanium alloy which conforms to ASTM F136. The Paltop Narrow Implants are surface treated with SLA (Sand-blasted, Large Grit, Acid Etched).

    The implants are available in three thread/body configurations: Advanced, Advanced+, and Dynamic. The Advanced, Advanced+ and Dynamic implants have micro threads at the neck. All implants have a parallel coronal and mid-section area with an apical taper. The families have slight differences in thread profile and either a passive or active apex. The 3.0 mm diameter implants are prosthetically compatible with the previously cleared Paltop Narrow Implant (K130462) prosthetic devices.

    This submission introduces Single-Unit Abutments for the Paltop Narrow Implant device. The submission replaces the original straight Multi-Unit Abutments from the K130462 submission and includes additional gingival heights. The submission also introduces an angulated Multi-Unit titanium abutment, all compatible with the Paltop Narrow Implant device. The submission expands the compatible prosthetic components to include new temporary titanium abutments and healing caps compatible with Single-Unit and Multi-Unit titanium implant abutments.

    The Subject device implants may be used with the Predicate device abutments previously cleared under K130462, based on non-clinical performance bench testing provided in this submission.

    The Subject device abutments may be used with the Predicate device implants previously cleared under K130462, based on non-clinical performance bench testing provided in this submission. The only exception is the implant cover screw (P/N 80-70100) which is specific to the 3.0 mm diameter implants in this submission.

    The Subject device Multi-Unit Abutment components such as copings/interfaces, temporary abutments, cylinders, and screws may be used with the Predicate device Multi-Unit Abutments previously cleared under K130462 based on non-clinical performance bench testing provided in this submission.

    All implants and prosthetic components are one-time use devices. All Subject devices in this submission are provided sterile and sterilized by gamma irradiation except for Single-Unit and Multi-Unit copings and all replacement screws which are provided non-sterile. Devices provided as non-sterilized by steam.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and the study information for the Paltop Narrow Implant, based on the provided document.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state numerical acceptance criteria in a table format for specific performance metrics like fatigue life or bone-to-implant contact percentages. Instead, it refers to industry standards and general outcomes. The reported device performance is presented narratively.

    Performance CharacteristicAcceptance Criteria (implied/standards referenced)Reported Device Performance
    Fatigue StrengthConformance to ISO 14801:2016 for dynamic loadingSuccessfully tested to ISO 14801:2016. Worst-case scenario chosen.
    BiocompatibilitySuitable biocompatibilityDemonstrated suitable biocompatibility based on review of published literature, internal routine monitoring data, and post-market surveillance data.
    OsseointegrationSuccessful osseointegration, industry-accepted bone level changes92% of implants showed bone level improvement or maintenance; bone level decreases less than 1mm; 100% met criteria for successful osseointegration.
    Implant Survival RateFailure rates below industry levelsPost-market surveillance indicated failure rates below industry levels.
    Residual Aluminum ParticlesNo negative impact on osseointegration and implant survivalEvaluation supported previous findings that residual aluminum particles (if present) from specific surface treatment do not negatively impact osseointegration and implant survival.
    Endotoxin LevelsConformance to USPConfirmatory endotoxin testing performed according to USP acceptance criteria.
    Sterilization (Sterile Components)Suitable sterilizationDemonstrated suitable sterilization based on predicate/reference device validations.
    Sterilization (Non-Sterile Components)Suitable sterilization (cleaning validation, ISO 17665-1)Cleaning validation and sterilization per ISO 17665-1 performed for non-sterile components and components requiring subsequent sterilization.

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

    The document does not explicitly state a test set sample size for each specific non-clinical test in terms of a number of devices. It refers to general testing.

    • For the bone changes evaluation (part of biocompatibility/osseointegration): "A total of 174 surfaces were graded (87 implants)."
    • Data provenance: The bone changes evaluation references "published literature" on patients, suggesting retrospective (or possibly prospective clinical studies mentioned in the literature). "Internal routine monitoring data" and "post-market surveillance data" are mentioned, indicating real-world data collection, likely retrospective for surveillance and ongoing for monitoring. The manufacturer is Paltop Advanced Dental Solutions, Ltd, Hashita 5, Industrial Park, Caesarea 3088900, Israel.

    3. Number of Experts Used to Establish Ground Truth and Qualifications

    The document doesn't specify the number or qualifications of experts used to establish "ground truth" for the test set. For the bone level evaluation, it states "Mesial and distal surfaces were examined and graded." It is implied that these evaluations were done by qualified clinical professionals as part of the published literature or internal monitoring, but no specific details are provided.

    4. Adjudication Method

    No adjudication method is mentioned for any of the evaluations (e.g., bone level grading, or evaluation of non-clinical tests). The document implies acceptance based on test results meeting standards or being comparable to predicate devices.

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

    No MRMC comparative effectiveness study is mentioned. This device is an endosseous dental implant, not an AI diagnostic tool, so an MRMC study comparing human readers with and without AI assistance is not applicable.

    6. Standalone Performance Study

    The primary studies detailed are "non-clinical bench performance testing." This refers to laboratory testing of the device itself (fatigue, pull-out, etc.) and biological evaluations based on literature review and historical data, which are "standalone" in the sense that they assess the device's physical and biological properties. There is no human element being assessed.

    7. Type of Ground Truth Used

    The ground truth used several types:

    • Industry Standards: For fatigue testing (ISO 14801:2016), endotoxin testing (USP ), and sterilization (ISO 17665-1).
    • Clinical Outcomes Data: For osseointegration and implant survival (from published literature and post-market surveillance). This includes "bone level improvement or maintenance" and "failure rates below industry levels."
    • Analytical Data: SEM/EDS data for residual particles.
    • Comparison to Predicate/Reference Devices: Demonstrating similarity in design and performance to already cleared devices.

    8. Sample Size for the Training Set

    The document does not mention a "training set" or "training data" in the context of an algorithm or AI. This is a medical device (dental implant) that undergoes physical and biological performance testing, not a machine learning model.

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

    Not applicable, as there is no training set for an algorithm described in this document.

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    K Number
    K130462
    Date Cleared
    2013-08-27

    (186 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    PALTOP ADVANCED DENTAL SOLUTIONS LTD

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

    The Paltop Narrow Implant is indicated for use in surgical and restorative applications for placement in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws where the horizontal space is limited by the adjacent teeth and roots, to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. The Paltop Narrow Implant is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

    Device Description

    Paltop Narrow Implants, as other implants available in the market, are essentially a substitute for a natural tooth. Paltop Narrow Implants, as other implants available in the market, are one and two stage endosseous screw type implant with internal hexagonal connection, intended for single use. As other implants available in the market, they are fabricated from titanium alloy, Titanium -6 Aluminum 4 Vanadium ELI alloy, according to ASTM F136-98, a biologically compatible material to vital tissue, and surface treated with sand blasting and acid etching. The Paltop Narrow Implant is a suitable treatment option when the possibility of placing a standard implants is limited due to physical conditions, where the horizontal space is limited by adjacent teeth and roots, or in situations with a narrow alveolar ridge. By using a narrow implant the need for bone augmentation or orthodontic tooth movement can be avoided. The Paltop narrow implants are 3.25mm-wide and are available in lengths of 10mm, 11.5mm, 13mm and 16mm.

    AI/ML Overview

    Below is an analysis of the provided text regarding the Paltop Narrow Implant's acceptance criteria and studies.

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided 510(k) summary focuses on demonstrating substantial equivalence to predicate devices rather than providing specific performance metrics against defined acceptance criteria. Therefore, explicit numerical acceptance criteria and corresponding device performance values are not directly stated in the document.

    Instead, the acceptance for this device is based on demonstrating comparability with predicate devices in terms of:

    Acceptance Criteria CategoryReported Device Performance (as stated in the document)
    Intended UseSame as predicate devices (Paltop Dental Implant System, MIS UNO Narrow, Astra Tech OsseoSpeed Narrow).
    Technological CharacteristicsSimilar to predicate devices (same operating principle, basic design, materials, packaging, sterilization procedures). Specific comparisons are detailed in the "Technological Characteristics – comparative table – Narrow Implants" for:
    • Product Code
    • Manufacturer
    • Intended Use/Indications for Use
    • Components
    • Supplied Sterile
    • Re-Use
    • Material Composition
    • Surface Treatment
    • Shape
    • Length
    • Diameters
    • Abutments
    • Material Composition of Abutments
    • Surface Treatment of Abutments |
      | Safety and Effectiveness | "Fatigue testing of the modified device showed that implants are safe and effective and meets existing acceptance criteria."
      "Other performance testing and validations (corrosion resistance, surface analysis, biocompatibility evaluation, sterilization and shelf life validation) previously conducted to the standard device were shown to be applicable to the modified design, as their results may not be affected by the dimensional changes."
      "Bench testing and validations demonstrates that the narrow implants are substantially equivalent to predicate devices and do not raise new issues of safety or effectiveness." |

    2. Sample Size for the Test Set and Data Provenance

    The document explicitly states "Clinical Tests: Not applicable." This indicates that no human test set was used for this 510(k) submission. The evaluation was based on non-clinical (bench) testing and comparison to predicate devices. The data provenance is therefore from bench testing conducted by Paltop Advanced Dental Solutions Ltd. specific to the modified device design and existing data for the standard device. The country of origin of the device manufacturer is Israel.

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

    Since no clinical test set was used, there was no ground truth established by experts for a clinical study. The "ground truth" for demonstrating substantial equivalence was established through analytical and bench testing data compared against the characteristics of the predicate devices.

    4. Adjudication Method for the Test Set

    Not applicable, as no clinical test set was used.

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

    Not applicable. The document explicitly states "Clinical Tests: Not applicable," and therefore no MRMC study was conducted.

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

    Not applicable. This device is a physical dental implant, not a software algorithm. Therefore, "standalone" performance in the context of an algorithm is not relevant.

    7. Type of Ground Truth Used

    For the purpose of this 510(k) submission, the "ground truth" was established through:

    • Bench Test Results: Demonstrating material properties, mechanical strength (fatigue), corrosion resistance, surface analysis, biocompatibility, sterilization, and shelf-life meet acceptable standards and are comparable to predicate devices.
    • Comparison to Predicate Device Specifications: The detailed comparative table and narrative establish equivalence based on the known and accepted characteristics of the legally marketed predicate devices.

    8. Sample Size for the Training Set

    Not applicable. This is a physical medical device, not a machine learning algorithm, therefore there is no concept of a "training set" in the context of this submission. The "training" for the device's design and manufacturing would involve engineering principles and design verification and validation, not data-driven algorithm training.

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

    Not applicable, as there is no "training set" for a physical dental implant. The development and validation process would involve design inputs, design verification, and design validation activities, often referencing international standards and established scientific principles for medical device safety and performance.

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    K Number
    K131451
    Date Cleared
    2013-08-22

    (94 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    PALTOP ADVANCED DENTAL SOLUTIONS LTD

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

    The Paltop Dental Implant System is indicated for use in surgical and restorative applications for placement in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. The Paltop Dental Implant System is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

    Device Description

    Paltop Dental Sterile Accessories are packaged is a standard, commonly used in the dental market, blister packaging made out of radiation resistant transparent polyethylene (PET) sealed with medical grade tyvek sheet. The accessories will be sterilized using gamma irradiation.

    Paltop Prosthetic Components include a variety of abutments, healing cups and impression coping components having a central bore and a lower mating surface that is configured to mate with the mating surface of the Paltop implant. The Paltop prosthetic components, as other available in the market dental prosthetics are dental components composed either of titanium (Ti6AL4V ELI) or peek.

    Paltop surgical instruments consist of a variety of instruments required for dentalsurgical and reconstructive procedures including primary and final drills, Key set and adapters. The Paltop surgical instruments, as other available in the market surgical instruments, are composed of stainless still or TI6AL4V ELI.

    AI/ML Overview

    The provided text is a 510(k) Summary for a medical device (Paltop Dental Sterile Accessories). It describes the device, its intended use, and the basis for its substantial equivalence to a predicate device. However, it does not contain any information about acceptance criteria or a study proving that the device meets such criteria.

    The submission is a Special 510(k), which indicates a modification to an existing cleared device (Paltop Dental Implant System cleared under K112795). The modification described is a change in packaging only: "Paltop modified devices will be provided in a sterile blister package."

    Since the modification is solely a packaging change and does not alter the intended use, technological characteristics, or mode of operation, the submission focuses on validating the new sterile blister package and its sterilization method.

    Here's an analysis based on the information provided, specifically addressing why certain requested information is not present:

    Missing Information and Why (Based on the Document):

    The request asks for information typically found in clinical performance studies or detailed engineering/software validation reports for novel devices or significant modifications that impact performance. This document is for a packaging change and sterilization validation for previously cleared devices.

    Therefore, the following information is not available in the provided text:

    • 1. A table of acceptance criteria and the reported device performance: This document validates a packaging change and gamma sterilization. Performance criteria would typically relate to the implant's clinical performance, which was established in the predicate device's clearance (K112795). For this submission, validation focused on sterility and packaging integrity.
    • 2. Sample size used for the test set and the data provenance: Not detailed for device performance as it relates to clinical outcomes. For sterilization validation, there would be sample sizes, but these are not provided in this summary.
    • 3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable for a packaging and sterilization validation. Ground truth for clinical performance was established for the predicate device.
    • 4. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable.
    • 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 not an AI/imaging device with human-in-the-loop.
    • 6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an algorithm.
    • 7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable for this specific 510(k) submission, as it concerns packaging. For the predicate device, clinical outcomes would be the ground truth for implant performance.
    • 8. The sample size for the training set: Not applicable. This is not an AI/machine learning device.
    • 9. How the ground truth for the training set was established: Not applicable.

    Information Provided (Relevant to the Packaging Change Validation):

    The document mentions:

    • Non-Clinical Tests: "Risk analysis process was conducted to assess the impact of the modification of the device. Gamma radiation sterilization and shelf life validation were performed. Other performance testing and validations conducted for Paltop's original components (Fatigue, steam sterilization) were shown to be applicable to the modified device. Bench testing and validations demonstrates that Paltop dental sterile accessories are substantially equivalent to predicate devices and do not raise new issues of safety or effectiveness."

    This indicates that the key validations for this submission were:
    * Risk analysis of the packaging change.
    * Validation of gamma radiation sterilization.
    * Shelf-life validation for the new packaging.
    * Confirmation that previous performance tests (Fatigue, steam sterilization) on the components themselves are still valid.

    • Clinical Tests: "N/A" - No clinical tests were performed for this specific modification, as it was deemed unnecessary due to the nature of the change (packaging only).

    In summary, this 510(k) submission is for a minor modification (packaging change) to an already cleared device. Therefore, it does not involve the extensive performance studies and acceptance criteria typically associated with novel devices, AI/ML devices, or devices undergoing significant functional changes. The "study" mentioned is the non-clinical testing for sterilization and shelf-life related to the new packaging.

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    K Number
    K112795
    Date Cleared
    2012-04-20

    (207 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    PALTOP ADVANCED DENTAL SOLUTIONS LTD

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

    The Paltop Dental Implant System is indicated for use in surgical and restorative applications for placement in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. The Paltop Dental Implant System is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

    Device Description

    Paltop Advanced Dental Solutions Implant System consists of a one and two stage endosseous screw type implant with internal hexagonal connection, intended for single use. Each implant is accompanied by standard cover screws, healing caps, abutment system superstructures and surgical instruments. The Paltop dental implant system is composed of the following implant families: Paltop Advanced screw type implants and Paltop Dynamic screw type implants. Each implant is accompanied by a standard cover screw. Paltop dental implants are made of Ti 6Al 4V ELI, and shall meet the requirements of ASTM F136. "Paltop Advanced" are screw type implants, with double leaded "V" shape progressive external thread profile along the implants body, and fine threads at its neck. It has an internal hex. connection and a domed apex. The implant is available in 3.75mm, 4.2mm and 5mm diameter and lengths of 8mm, 10mm, 11.5mm, 13mm and 16mm. The implants are suitable for both one and two stage implant procedures. "Paltop Dynamic" are screw type implants, with 3 different thread geometries: double leaded "V" shape progressive external thread profile at the apical portion, modified reverse buttress along its body and fine thread at the neck. It has an internal hex. connection. The implant is available in 3.75mm, 4.2mm and 5mm diameter and lengths of 8mm, 10mm, 11.5mm, 13mm and 16mm. The implants are suitable for both one and two stage implant procedures. The Paltop Advanced Dental Implant System includes a variety of abutments having a central bore and a lower mating surface that is configured to mate with the mating surface of the Paltop implant. A collar portion is located at a coronal end of the dental implant. A central bore extends through the collar portion and into the implant body portion. The central bore includes a threaded section for receiving a threaded portion of a screw and post receiving section. The post receiving section consists of hex geometry for antirotational features and a conical section (above the hex) which interfaces with the abutment. The designed threads provides secure primary fixation. This design is responsible for transferring the load from the abutment/prosthesis to the implant body.

    AI/ML Overview

    The provided document is a 510(k) summary for the Paltop Advanced Dental Solutions Implant System. This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than providing extensive clinical study data for acceptance criteria.

    Therefore, the document does not contain a detailed study proving the device meets specific acceptance criteria in the format requested by the user for an AI/ML device.

    Here's a breakdown of the available information in relation to the requested points:


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

    This information is not explicitly provided in the document in the context of acceptance criteria and performance metrics typically expected for an AI/ML device. The document primarily focuses on demonstrating substantial equivalence to predicate dental implants through technological characteristics and compliance with established standards for dental implants.

    The "performance" described is in the context of mechanical, material, and biological properties, not a predictive or diagnostic AI/ML performance.


    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 provided. The non-clinical tests mentioned are fatigue, corrosion resistance, surface analysis, and biocompatibility, which are standard tests for physical medical devices, not AI/ML systems.


    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 and therefore not provided. The device described is a dental implant, not an AI/ML diagnostic or predictive tool that requires expert-established ground truth from images or other data.


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

    This information is not applicable and therefore not provided. As the device is a physical dental implant, there is no "test set" in the context of AI/ML performance evaluation requiring adjudication.


    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 and therefore not provided. The device is a dental implant and does not involve AI assistance for human readers/clinicians, nor does it present "cases" for interpretation.


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

    This information is not applicable and therefore not provided. The device is a physical dental implant and does not involve an algorithm.


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

    This information is not applicable in the context of AI/ML ground truth. For the physical dental implant, ground truth is implicitly established by compliance with international standards for material properties, mechanical performance (e.g., fatigue), and biocompatibility. Clinical effectiveness is generally inferred from the substantial equivalence to existing devices with a long history of safe and effective use.


    8. The sample size for the training set

    This information is not applicable and therefore not provided. The device is a physical dental implant and does not involve a training set for an AI/ML algorithm.


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

    This information is not applicable and therefore not provided. The device is a physical dental implant and does not involve a training set for an AI/ML algorithm.


    Summary regarding the provided document:

    The 510(k) submission for the Paltop Advanced Dental Solutions Implant System focuses on demonstrating substantial equivalence to predicate dental implant devices, as opposed to providing detailed acceptance criteria and a study for an AI/ML device. The "study" referenced in the document for clinical aspects is a literature review, which concludes that titanium-based dental implants are safe and effective. The "acceptance criteria" are implied by compliance with various international standards for biocompatibility, material properties, and mechanical performance relevant to dental implants (e.g., ISO, ASTM standards listed on pages 4, 6, and 7). There are no AI/ML specific details in this document.

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