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510(k) Data Aggregation

    K Number
    K193388
    Date Cleared
    2020-04-27

    (143 days)

    Product Code
    Regulation Number
    872.3750
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    GlassLok is intended for use as a dual cure glass ionomer band cement for use in an orthodontic or dental office.

    Device Description

    GlassLok is intended for use as a dual cure glass ionomer band cement for use in an orthodontic or dental office. GlassLok can be used to bond molar bands to an enamel or metal substrate in a wet or dry field due to its hydrophilic properties. GlassLok is available in natural or blue shade (for easy disclosure at removal).

    GlassLok is dispensed in a 2 part (powder and liquid) format with bottle dispensing. A 15cc and 25 cc liquid (in blue or natural shade) along with a 15gm or 100gm powder component will be available as separate components. A convenience kit will also be available in Blue or Natural shade in a starter or economy volume.

    GlassLok powder is dispensed to a mixing pad using a measuring scoop and mixed with GlassLok liquid in a ratio of 2:1. The mixed GlassLok composite is then applied to the inside of an orthodontic band and applied to a properly prepared tooth structure. Working Time is 2 minutes and setting time is 5 minutes once the working time has expired. GlassLok can also be cured with a curing light for 20 seconds, if required for polymerization.

    Associated accessories include a measuring scoop. Spatula and mixing pad.

    AI/ML Overview

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

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Criteria/Outcome MeasurePredicate Device Performance (GC Fuji Ortho™ LC)GlassLok Device PerformanceAcceptance Met?
    PerformanceShear Bond Strength (to enamel)Baseline (not explicitly quantified but used for comparison)Similar or better than predicateYes
    Shear Bond Strength (to metal)Baseline (not explicitly quantified but used for comparison)Similar or better than predicateYes
    ISO 9917-2:2017 Testing ResultsSimilar results (to GlassLok)Similar results (to GC Fuji Ortho™ LC)Yes
    BiocompatibilityLocal/Systemic Adverse EffectsNot applicable (predicate not directly evaluated in this context)No adverse local or systemic effectsYes
    Carcinogenic/Mutagenic PotentialNot applicableNot carcinogenic or mutagenicYes
    Reproductive/Developmental EffectsNot applicableNo adverse reproductive or developmental effectsYes
    CytotoxicityNot applicable (supplemental for GlassLok)Passed (implied by overall biocompatibility conclusion)Yes
    Oral ToxicityNot applicable (supplemental for GlassLok)Passed (implied by overall biocompatibility conclusion)Yes

    Explanation of "Acceptance Met?": The document states that GlassLok demonstrated "similar or better performance" for shear bond strength and "similar results" for ISO 9917-2:2017 testing when compared to the predicate. For biocompatibility, it states the device "did not directly or through the release of material constituents produce adverse local or systemic effects; it is not carcinogenic or mutagenic, and will not produce adverse reproductive or developmental effects." This indicates the acceptance criteria were met.


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

    • Sample Size for Test Set: The document does not explicitly state the sample size used for the shear bond strength testing or the ISO 9917-2:2017 testing.
    • Data Provenance: The document does not specify the country of origin of the data. It also does not state whether the data was retrospective or prospective. Given the nature of a 510(k) submission for a new device, it would most likely be prospective, newly generated data for the purpose of the submission.

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

    • The document describes laboratory performance testing (shear bond strength, ISO 9917-2:2017) and biocompatibility evaluations, not a study involving human interpretation where "ground truth" would be established by experts in the clinical sense (e.g., radiologists interpreting images).
    • Therefore, this question is not applicable in the context of this device's evaluation as described. The "ground truth" here is objective physical and chemical measurements.

    4. Adjudication Method for the Test Set

    • As mentioned above, the primary evaluations were laboratory-based performance tests and biocompatibility assessments, not studies requiring expert adjudication of results.
    • Therefore, this question is not applicable in the context of this device's evaluation as 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

    • No, an MRMC comparative effectiveness study was not done.
    • This device, GlassLok, is a dental cement, not an AI-powered diagnostic or decision support tool. Therefore, the concept of "human readers improve with AI vs without AI assistance" is not relevant.

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

    • No, a standalone algorithm performance study was not done.
    • GlassLok is a physical dental material, not an algorithm or software.

    7. The Type of Ground Truth Used

    • For performance testing (shear bond strength, ISO 9917-2:2017): The ground truth was based on objective physical and mechanical measurements obtained through standardized laboratory test methods. The predicate device served as the comparative benchmark.
    • For biocompatibility: The ground truth was established through biological evaluations and chemical characterization against established international standards (ISO 10993 and ISO 7405:2018), determining whether the material caused adverse biological reactions.

    8. The Sample Size for the Training Set

    • This is a medical device (dental cement), not a machine learning or AI model. Therefore, the concept of a "training set" in the context of AI development is not applicable. The device's performance is inherent to its material properties and manufacturing, not learned from data.

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

    • As mentioned above, the concept of a "training set" is not applicable for this type of device. The characteristics and performance of GlassLok are determined through its chemical composition and physical properties, which are then verified through the performance data described.
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    K Number
    K161684
    Device Name
    Quantum LB
    Date Cleared
    2016-10-06

    (111 days)

    Product Code
    Regulation Number
    872.3750
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    This Device is intended for use as a light cure, orthodontic adhesive.

    Device Description

    This device is a light-cure orthodontic adhesive intended for bonding brackets and appliances to a tooth surface. This device will bond to any enamel, porcelain, composite or metal tooth surface that has been properly conditioned. This device will be available in push syringe or tips for preferences in dispensing.

    AI/ML Overview

    The provided text describes a 510(k) submission for the "Quantum LB" orthodontic adhesive. The study aims to demonstrate substantial equivalence to a predicate device, Transbond XT.

    Here's an analysis of the acceptance criteria and the study presented:

    Quantum LB Orthodontic Adhesive - Acceptance Criteria and Study Details

    1. Acceptance Criteria and Reported Device Performance

    The core acceptance criterion for the Quantum LB device, as per the provided summary, is similar performance to the predicate device (Transbond XT) in shear bond strength. No specific numerical thresholds are given for this similarity, but the summary states it was achieved.

    PropertyAcceptance Criteria (Implied)Reported Device Performance (Quantum LB)
    In-vivo Shear Bond StrengthSimilar to Transbond XT"Testing resulted in similar performance between the two adhesives."
    Biocompatibility (Local/Systemic Effects)No adverse effects"determined to not directly or through the release of material constituents produce adverse local or systemic effects."
    Cytotoxicity (ISO 10993-5 Elution Method)Grade < 2 (Mild reactivity)"showed no evidence of causing cell lysis or toxicity and met the requirements of the test with a grade of less than grade 2 (Mild reactivity)."

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

    The document states an "in-vivo performance test method for shear bond strength" was used. However, it does not explicitly state the sample size for this test. The data provenance is also not specified (e.g., country of origin, retrospective or prospective).

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

    This section is not applicable as the study appears to be a laboratory/performance test, not one relying on expert interpretation for ground truth. The "ground truth" here is the measured shear bond strength, which is an objective, quantitative metric.

    4. Adjudication Method for the Test Set

    This section is not applicable for the same reasons as point 3.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    No, an MRMC comparative effectiveness study was not done. The study focuses on direct performance comparison of the device against a predicate, not on the improvement of human readers with AI assistance.

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

    This question is not applicable as the device is a physical orthodontic adhesive, not a diagnostic algorithm or AI system.

    7. The Type of Ground Truth Used

    The ground truth used for the shear bond strength testing is the measured shear bond strength itself, which is an objective, quantitative outcome. For biocompatibility and cytotoxicity, the ground truth is established by the results of standardized biological assays (ISO 10993).

    8. The Sample Size for the Training Set

    This question is not applicable. The Quantum LB is a physical medical device, not a machine learning algorithm, so there is no "training set."

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

    This question is not applicable as there is no training set for this type of device.


    In summary, the provided document focuses on demonstrating the performance and safety of a new orthodontic adhesive by comparing it to an already legally marketed predicate device through physical and biological testing. It is a traditional medical device submission and does not involve AI or expert-based diagnostic performance studies.

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