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510(k) Data Aggregation

    K Number
    K014144
    Manufacturer
    Date Cleared
    2002-02-07

    (51 days)

    Product Code
    Regulation Number
    872.3690
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    EXTORAL/TESCERA GLAZING RESIN, MODEL T-1804

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

    This product is used as a surface sealant for indirect composites.

    Device Description

    A single bottle glaze for use on indirect resin composite restorations.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and supporting study for the EXTORAL/TESCERA GLAZING RESIN device:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The provided text focuses on demonstrating substantial equivalence to a predicate device rather than presenting explicit acceptance criteria with numerical targets. The "Significant Performance Characteristics" table highlights shared features between the applicant device and the predicate.

    CharacteristicAcceptance Criteria (Implied)Reported Device Performance (EXTORAL / TESCERA GLAZING RESIN)
    Intended UseMust be a resin sealant.Resin sealant.
    Product DescriptionMust be a clear solution.Clear solution.
    Delivery SystemMust be a brush.Brush.
    BiocompatibilityMust be non-toxic.Ingredients were tested and found to be non-toxic.
    Overall Safety and EfficacyMust be safe and efficacious, demonstrating substantial equivalence to the predicate.Concluded that information supplied proved safety and efficacy.

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

    The document does not explicitly mention a "test set" in the context of the device's performance. Instead, it refers to "side by side comparisons" and "biocompatibility testing."

    • Sample Size: Not specified for the comparison or biocompatibility testing. No explicit "test set" is described with a specific number of instances.
    • Data Provenance: Not specified (e.g., country of origin, retrospective/prospective). The document states "ingredients... were tested," implying a laboratory setting, but provides no further details.

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

    Not applicable. The study described focuses on direct comparison of product characteristics and biocompatibility testing, not on expert-adjudicated "ground truth" labels.

    4. Adjudication Method for the Test Set:

    Not applicable. There is no mention of a "test set" requiring adjudication.

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

    No, an MRMC comparative effectiveness study was not done. The document focuses on comparing the applicant device's intrinsic properties and intended use to a predicate device, not on how human readers' performance with or without AI assistance is affected.

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

    Not applicable. This device is a physical product (glazing resin), not an algorithm or AI system.

    7. Type of Ground Truth Used:

    The "ground truth" in this context is based on:

    • Direct comparison of product characteristics: Intended use, product description, and delivery system are directly observed and compared.
    • Biocompatibility testing results: Laboratory findings on the toxicity of the ingredients.
    • Predicate device characteristics: The legally marketed predicate device (Jet Seal/Ortho-Jet Acrylic Resin K941925) serves as the benchmark for "substantial equivalence."

    8. Sample Size for the Training Set:

    Not applicable. This device is a physical product, not an AI model requiring a training set.

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

    Not applicable. As there is no training set, there is no ground truth establishment for it.

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