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510(k) Data Aggregation

    K Number
    K201993
    Date Cleared
    2021-01-29

    (196 days)

    Product Code
    Regulation Number
    872.4200
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    E-connect S is a cordless endodontic treatment motorized handpiece with root canal measuring capability. It can be used to enlarge canals while monitoring the position of the tip inside the canal. It can be used as a low-speed motorized handpiece and device for measuring canal length.

    This device must only be used in hospital environments, clinics or dental offices by qualified dental personnel.

    Device Description

    The E-connect S is a battery-driven handpiece with a motor, equipped with a chuck for holding rotary instruments such as a dental file. The E-connect S can be used for enlargement and preparation of root canals and can also be used as an apex locator.

    The motor drives the file to rotate at a certain speed and torque through the contra angle gearing. The rotating file will cut the root canal wall along the direction of the root canal. The speed and torque of the motor are controlled by the central processor and are configurable to accommodate different files. With built-in apex locator, this device monitors the file tip position in the root canal during root canal treatment.

    The components of the E-connect S include a charge base, handpiece, contra angle, insulating sleeve, file clip, lip hook, measuring wire, adapter, and spray nozzle. The contra angle is compatible with files shafts conforming to ISO 1971-1, Type 1. The key panel on the handpiece is used to control/adjust the power, memory settings, operation modes (motor/apex,) and adjust the parameters. The body of the handpiece is to be covered with a FDA cleared barrier sleeve.

    AI/ML Overview

    The provided document is a 510(k) summary for the E-connect S Endo Motor with built-in Apex Locator. It details the device's performance data and comparison to a predicate device, but it does not contain information about an AI/algorithm-only study, a multi-reader multi-case (MRMC) comparative effectiveness study, or details on ground truth establishment for a training set. The study described focuses on non-clinical performance evaluations and comparative testing against a predicate device.

    Here's the information extracted and organized, with an emphasis on what is present and what is not:


    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are not explicitly stated in a table format with pass/fail metrics. Instead, the document describes performance tests against recognized standards and a comparative test against a predicate device. The most relevant performance criterion discussed is the accuracy of the root apex locator function.

    Acceptance Criteria (Inferred from Performance Data)Reported Device Performance (E-connect S)
    Biocompatibility: Conformance to ISO 10993-1Cytotoxicity (ISO 10993-5), Sensitization (ISO 10993-10), Irritation (Oral mucosa) (ISO 10993-10) all passed. Device considered surface contacting for < 24 hours.
    Electrical Safety: Conformance to IEC 60601-1Conforms to IEC 60601-1
    Electromagnetic Compatibility (EMC): Conformance to IEC 60601-1-2Conforms to IEC 60601-1-2:2014
    Mechanical Safety: Conformance to IEC 60601-1Conforms to IEC 60601-1 (implied, as mechanical safety is typically covered)
    Thermal Safety: Conformance to IEC 60601-1Conforms to IEC 60601-1 (implied, as thermal safety is typically covered)
    Radiation Safety: Conformance to IEC 60601-1-2Conforms to IEC 60601-1-2 (implied, by general statement of 60601-1-2 conformance)
    Dental Equipment Specifics: Conformance to IEC 80601-2-60Conforms to IEC 80601-2-60:2012
    Handpiece & Motors: Conformance to ISO 14457Conforms to ISO 14457:2017
    Reprocessing Validation: Conformance to FDA GuidanceReprocessing validation (cleaning, disinfection, sterilization) performed.
    Software: Adherence to FDA GuidanceModerate level of software documentation provided.
    Root Canal Measurement Accuracy: Comparison to predicate device and -1.5mm to +0.5mm for Apex position (predicate's accuracy)-0.5mm to +0.5mm for Apex position (E-connect S), which is better than the predicate device's accuracy of -1.5mm to +0.5mm.
    Canal Enlargement Performance (RPM & Torque): Range within predicate's capabilities120-1000 rpm, 0.5 N·cm - 4 N·cm. Rotation speed is within the speed of the predicate device (100-1,000rpm, 4Ncm min.).

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

    • Sample Size: Not specified for any of the non-clinical tests or the comparative root canal measurement test. The document states "Comparative Root Canal Measurement Performance Test to evaluate the root canal length measurement accuracy to the predicate device," but the number of cases or samples used in this test is not provided.
    • Data Provenance: Not specified. The document does not mention the country of origin or if the data was retrospective or prospective. Given the nature of a 510(k) summary, it's typically a report of manufacturer-conducted tests.

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

    • Not applicable / Not specified. The document describes non-clinical performance and comparative testing. It does not mention any ground truth established by experts for a test set in the context of clinical or diagnostic performance. The apex locator accuracy is a technical measurement, not an expert-driven clinical ground truth.

    4. Adjudication Method for the Test Set

    • Not applicable / Not specified. There is no mention of adjudication methods as no expert-based ground truth or clinical test set adjudication is described.

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

    • No, an MRMC comparative effectiveness study was not done. The document explicitly states: "There were no clinical tests performed for the E-connect S device." The performance data section describes non-clinical tests and a comparative evaluation of the root canal measurement accuracy to the predicate device, not a human reader study.

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

    • Partially applicable. The "apex locator function" is a standalone algorithm/device function. Its accuracy is reported as -0.5mm to +0.5mm for Apex position. This is a direct measurement of the device's technical performance without human interpretation or intervention in the measurement itself outside of proper device usage. The study compared this measurement accuracy to that of the predicate device.

    7. The Type of Ground Truth Used

    • Technical/Instrumental Measurement. For the apex locator function, the "ground truth" would be an objective, precise measurement of the actual root canal length, likely established under controlled laboratory conditions or cadaveric/ex vivo studies using highly accurate reference methods (e.g., direct physical measurement, micro-CT). The document does not detail how this "ground truth" was specifically established but refers to the "Accuracy of the root apex locator function." For other performance aspects, the ground truth refers to conformance to established international standards (e.g., IEC 60601, ISO 10993).

    8. The Sample Size for the Training Set

    • Not applicable / Not specified. This device is a motor and apex locator, not an AI/machine learning algorithm that requires a "training set" in the traditional sense of medical imaging or diagnostic AI. The document does not describe any machine learning components that would necessitate training data.

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

    • Not applicable / Not specified. As there is no described training set for an AI/ML algorithm, the method for establishing its ground truth is not relevant here.
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