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510(k) Data Aggregation

    K Number
    K201483
    Date Cleared
    2020-10-08

    (126 days)

    Product Code
    Regulation Number
    872.3660
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Zhengzhou Huaer Electro Optics Technology Co., Ltd

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

    Used for all crown, bridge, and orthodontic impression techniques.

    Device Description

    The Impression Material is a kind of addition-cure rubber impression material composed of vinyl polysiloxane and various fillers, with neutral smell and applicable to impression in dentistry. It consists of base and catalyst, in which putty base contains Vinyl polysiloxane, Methylhydrogensiloxane dimethylsiloxane, dimeticone, white oil and silicon. Catalyst mainly contains vinyl polysiloxane, platinum catalyst, dimeticone, white oil and silicon. The product is provided non-sterile.

    AI/ML Overview

    Based on the provided text, the document is a 510(k) summary for a dental "Impression Material" and does not describe an AI/ML-based device. Therefore, many of the requested criteria (e.g., sample size for test/training sets, number of experts for ground truth, MRMC studies, human-in-the-loop performance, etc.) are not applicable to this submission.

    The document discusses the substantial equivalence of the "Impression Material" to a predicate device based on non-clinical tests and material properties.

    Here's an analysis of the provided information, noting where the requested criteria are not applicable:

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

    The relevant information is in "Table 2 Performance parameter" on page 5.

    ItemReported Device Performance (Proposed device)Acceptance Criteria (Type 0)Result
    Consistency32 mm
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