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510(k) Data Aggregation

    K Number
    K182854
    Manufacturer
    Date Cleared
    2019-07-11

    (274 days)

    Product Code
    Regulation Number
    872.3275
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    GC FujiCEM 2 (Improved)

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    • -Cementation of metal-based inlays, onlays, crowns and bridges
    • -Cementation of resin inlays, onlays, crowns and bridges
    • Cementation of all ceramic inlays -
    • -Cementation of high strength (e.g. zirconia based, lithium disilicate) ceramic onlays, crowns and bridges
    • Cementation of metal, ceramic and fiber posts -
    Device Description

    GC FujiCEM 2 (Improved) is a resin modified glass ionomer luting cement. The device is composed of the two pastes, Paste A and Paste B, packaged in an automix dual barrel syringe.

    AI/ML Overview

    The provided document is a 510(k) summary for a dental cement (GC FujiCEM 2 (Improved)). It focuses on demonstrating substantial equivalence to a predicate device through non-clinical performance testing. It does not contain information about software or AI-based devices. Therefore, a table of acceptance criteria and reported device performance for an AI/software device cannot be generated from this text.

    The document discusses the physical and chemical properties of the dental cement through performance bench tests and biocompatibility assessments against established ISO standards.

    Here's an analysis of the available information regarding the device's evaluation, although it's for a physical dental cement product, not an AI device:

    1. Table of Acceptance Criteria and Reported Device Performance (Non-AI/Software):

    PropertyAcceptance Criteria (Requirement)Reported Device Performance
    BiocompatibilityConforms to ISO 10993-1:2009 standardsAcceptable per biological evaluation results
    CytotoxicityBased on criteria of ISO 10993-5Pass
    SensitivityBased on criteria of ISO 10993-10Pass
    IrritationBased on criteria of ISO 10993-10Pass
    Performance Bench Tests (ISO 9917-2: 2017)Conforms to ISO 9917-2: 2017 and company standardSuitable for intended use
    AppearanceNo visible sign of extraneous matter, free of any gelationConforms to requirement
    Working timeIndenter shall make a complete circular indentationConforms to requirement (implies appropriate working time)
    Setting timeIndenter shall fail to make a complete circular indentationConforms to requirement (implies appropriate setting time)
    Flexural strengthMore than 25 MPaConforms to requirement (implies > 25 MPa)
    RadiopacityMore than equivalent thickness of aluminumConforms to requirement (implies > equivalent thickness of Al)

    2. Sample size used for the test set and the data provenance:

    • Not applicable for AI/Software. The document describes non-clinical bench testing. The sample sizes for each specific test (e.g., number of specimens for flexural strength) are not explicitly stated within this summary. Data provenance is implied to be from the manufacturer's own testing.

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

    • Not applicable for AI/Software. Ground truth for dental cement properties is established through standardized physical and chemical testing methods, not expert consensus in the way it's used for AI diagnostic outputs.

    4. Adjudication method for the test set:

    • Not applicable for AI/Software. The performance criteria for the dental cement are objective metrics measured by equipment and standardized procedures, not subjective interpretations 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:

    • Not applicable. This document is for a dental cement, not an AI or software device.

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

    • Not applicable. This is a physical medical device (dental cement), not an algorithm or software. No standalone algorithm performance was assessed.

    7. The type of ground truth used:

    • For biocompatibility: Ground truth is defined by the criteria and methods outlined in ISO 10993 series standards.
    • For performance bench tests: Ground truth is defined by the specifications and methods in ISO 9917-2: 2017 (Dentistry - Water-based cements - Part 2: Resin-modified cements) and the company's internal standards. These are objective, measurable physical and chemical properties.

    8. The sample size for the training set:

    • Not applicable. This is a physical medical device. There is no training set in the context of AI/machine learning.

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

    • Not applicable. See point 8.
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