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510(k) Data Aggregation

    K Number
    K223814
    Date Cleared
    2023-05-25

    (156 days)

    Product Code
    Regulation Number
    872.3640
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Genesis ACTIVE Implant System

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

    The Genesis ACTIVE Implant System is intended for use in single-stage or two-stage surgical procedures for replacing single or multiple missing teeth in partially or fully edentulous mandibles and maxillae. The Genesis ACTIVE Implant System supports single or multiple-unit restorations to re-establish patient chewing function and esthetics. Genesis ACTIVE implants are intended for placement following natural tooth loss or for immediate placement into an extraction socket. Immediate function may be achieved when good primary stability is established, and appropriate occlusal loading is applied.

    All digitally designed custom abutments for use with Genesis ACTIVE Implants are to be sent to a Keystone Dental validated milling center for manufacture.

    The KDG-Osteon Precision Milled Suprastructure is indicated for attachment to the Genesis ACTIVE Multi-Unit abutments in the treatment of partially or fully edentulous jaws for the purpose of restoring chewing function. The KDG-Osteon Precision Milled Suprastructure is intended for attachment to a minimum of two (2) abutments.

    Device Description

    The purpose of this submission is for the marketing clearance for the Genesis ACTIVE Implant System which comprises endosseous root-form dental implants, mating compatible abutments, abutment screws, and other associated components for single-unit, multi-unit, and overdenture restorations.

    Endosseous dental implants are surgically implanted into a patient's mouth to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Endosseous dental implant abutments are secured to dental implants with a retaining screw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. Prosthetic devices used with the dental implant abutments in this submission may be screw-retained or cement-retained.

    The Genesis ACTIVE Implant System includes endosseous screw type dental implants which can be used in either single- or two-stage surgeries with associated compatible abutments, screws, and other associated accessory components. The Genesis ACTIVE Implant System includes eleven (11) compatible implant abutment designs: Healing Abutments, Straight, Angled Multi-Unit, Angled Multi-Unit, PEEK Straight Temporary, PEEK Angled Temporary, Temporary Cylinder, Titanium Temporary Immediate, Titanium Blank. There are four minor variations of the Titanium Base design: Ti-Base, ANGLEBase®, C-Base®, and ELLIPTIBase®. Prosthetic devices used with the dental implant abutments in this submission may be screw-retained or cemented.

    The KDG-Osteon Precision Milled Suprastructure is an overdenture bar which is compatible with the Subject device Multi-Unit abutments. The overdenture bar is a dental restorative device that is intended for screw-retained attachment to dental abutments to aid in the treatment of partial or totally edentulous patients for the purpose of restoring their chewing function. The KDG-Osteon Precision Milled Suprastructure is fabricated by means of CAD/CAM technology by a Keystone Dental Group company and is used to facilitate the attachment of both fixed and removable prostheses.

    Subject device implants are manufactured from Commercially Pure (CP) – Grade 4 titanium conforming to ISO 5832-2, Implants for surgery — Metallic materials — Part 2: Unalloyed titanium and ASTM F67, Standard Specification for Unalloyed Titanium, for Surgical Implant Applications (UNS R50250, UNS R50550, UNS R50700). They are anodized pink (AnaTite™) to provide a pink color and have the BioSpark™ surface treatment which results in a hydrophilic surface enriched with calcium and phosphorous ions.

    All titanium Subject device abutments, accessories and screws are manufactured from titanium alloy conforming to ASTM F136, Standard Specification for Wrought Titanium-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant Applications (UNS R5640). Except for the Titanium Blank abutment design, all titanium Subject device abutments are anodized pink. Post surfaces of select abutments receive a media blasting treatment referred to as AnaTite™ or TiPink.

    Subject device PEEK temporary abutments are fabricated from PEEK (PolyEther Ether Ketone) material.

    All implants and prosthetic components are one-time use devices. All Subject device components are provided sterile and sterilized by gamma irradiation, except for Titanium Blank abutments and the KDG-Osteon Precision Milled Suprastructure which are provided non-sterile. Devices provided non-sterile or modified are sterilized by steam.

    AI/ML Overview

    The provided text describes the 510(k) summary for the Keystone Dental Inc. "Genesis ACTIVE Implant System." It focuses on demonstrating substantial equivalence to predicate devices through technical comparisons and non-clinical performance testing. The document explicitly states that no clinical data were included in this submission, which means there was no study proving the device meets acceptance criteria related to human performance or clinical outcomes.

    Therefore, many of the requested information points, particularly those pertaining to acceptance criteria for AI performance, sample sizes for test sets in clinical studies, expert involvement in ground truth establishment for such studies, MRMC studies, and standalone performance, cannot be answered from the provided text.

    The document primarily discusses bench testing and material/design comparisons to establish equivalence, rather than clinical performance acceptance criteria or studies involving human readers or AI.

    Here's what can be extracted from the provided text:

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

    The document focuses on non-clinical performance testing (bench testing) and material/design specifications for establishing substantial equivalence, rather than specific performance metrics or acceptance criteria typically seen for AI/diagnostic devices in clinical settings. The acceptance is based on demonstrating the new device performs similarly and is as safe and effective as the predicate device through these non-clinical tests.

    Acceptance Criteria Category (based on description)Reported Device Performance/Testing Confirmation
    Fatigue Testing (Mechanical)Performed according to ISO 14801:2016 ("Dentistry – Implants – Dynamic loading test for Endosseous Dental Implants"). Worst-case scenarios were chosen based on FDA Guidance. Results "demonstrate conformance with testing requirements and support a finding of substantial equivalence."
    BiocompatibilityPerformed according to ISO 10993-1. Supports that the Subject device uses "nearly identical manufacturing processes to the K210117 Reference device, with slight differences in surface treatment." Biological Evaluation addressed differences with internal routine monitoring data.
    CytotoxicityPerformed according to ISO 10993-5 on subject device or suitable test specimens to "support suitable biocompatibility."
    Endotoxin TestingPerformed following USP on subject device or suitable test specimens according to the sponsor's endotoxin sampling plan.
    Sterilization Validation (Gamma)Performed according to ISO 11137-1:2019, ISO 11137-2:2015, and ISO/TS 13004:2013 to "demonstrate suitable sterilization of the Subject device sterile components."
    Sterilization Validation (Steam)Leveraged from sponsor's K220200 Reference device according to ISO 17665-1:2009 for non-sterile and modified components.
    MRI Safety (Non-clinical worst-case review)Performed using scientific rationale and published literature (e.g., Woods et al., 2019). Rationale addressed parameters per FDA guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment," including magnetically induced displacement force and torque.
    Material CompositionImplants: Commercially Pure (CP) – Grade 4 titanium (ISO 5832-2, ASTM F67). Abutments, accessories, screws: Titanium alloy (ASTM F136). PEEK temporary abutments: PEEK material. Zirconia custom abutments: ISO 13356.
    Physical Dimensions Range (Implants)Implant diameters (3.5, 3.8, 4.5, 5.5 mm), Lengths (8.5 - 16 mm). Stated as supported by predicate/reference devices. Minor differences in thread design and interface do not affect substantial equivalence.
    Physical Dimensions Range (Abutments)Gingival Height (0.5-7 mm), Prosthetic diameters (3-6 mm). Stated as highly similar to and encompassed by predicate/reference devices. Minor differences are mitigated by mechanical performance testing.

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

    • Sample Size for Test Set: Not applicable in the context of this 510(k) submission, as it relies on non-clinical data (bench testing) rather than a clinical test set. The number of samples for each bench test is not specified in this summary document.
    • Data Provenance: Not applicable for clinical data. For non-clinical (bench) testing, the tests were conducted according to recognized international standards (e.g., ISO, ASTM, USP).

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

    • Not applicable. No clinical test set or ground truth established by experts is described, as the submission focuses on non-clinical data.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

    • Not applicable. No test set requiring adjudication in a human reader study is 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 MRMC study was done. The document explicitly states: "No clinical data were included in this submission."

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

    • Not applicable. This device is a physical dental implant system, not an AI algorithm. Its "performance" is mechanical and biological, not diagnostic or algorithmic.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • Not applicable for clinical ground truth. The "ground truth" for this submission are the standards and specifications (e.g., ISO 14801 for mechanical fatigue, ISO 10993 for biocompatibility) against which the device's physical and material properties are tested in a lab setting.

    8. The sample size for the training set:

    • Not applicable. This is not an AI/machine learning device that requires training data.

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

    • Not applicable. This is not an AI/machine learning device.
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