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510(k) Data Aggregation

    K Number
    K222513
    Device Name
    Glass Ceramics
    Date Cleared
    2023-02-10

    (175 days)

    Product Code
    Regulation Number
    872.6660
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Glass Ceramics are indicated for fabricating all-ceramic restorations such as veneers, inlay/onlay, partial crowns, anterior crowns, posterior crowns, using the hot press technique or CAD/CAM system.

    Device Description

    Glass Ceramics contains glass ceramic blocks for dental use. The main ingredients of the product include Silica: 55%~65%: Lithium oxide: 12%~25%: Alumina: 2%~12%; Potassium oxide: 2%~14%; Other oxides: 0%~10%. Through the digital scanning of teeth or tooth mold, 3D data of tooth mold can be obtained. According to this data, CAD design can be carried out to design porcelain block processing model. Then, a CNC machine tool was used to manufacture the all-porcelain denture crown by CAM according to the porcelain block processing model. After air sintering or vacuum sintering, the all-porcelain denture was made to achieve the strength and aesthetic effect required by clinical use.

    AI/ML Overview

    The provided text is a 510(k) Premarket Notification from the FDA regarding a dental device called "Glass Ceramics." It primarily focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving that the device meets specific acceptance criteria related to an AI/Software as a Medical Device (SaMD) product.

    Therefore, the requested information for an acceptance criteria table and a study proving a device meets these criteria (especially concerning AI/ML performance metrics like sensitivity, specificity, AUC, or reader improvement with AI assistance, sample sizes for AI training/test sets, expert ground truth establishment, etc.) cannot be extracted from this document, as it is about a material (dental glass ceramics) and not an AI/SaMD product.

    The document discusses:

    • Physical and Chemical Properties Tests: These are bench tests against standards like ISO 6872:2015 for properties like flexural strength, chemical solubility, coefficient of thermal expansion, and glass transition temperature.
    • Biocompatibility Tests: These tests follow ISO 10993 standards for cytotoxicity, sensitization, irritation, systemic toxicity, subchronic toxicity, and genotoxicity.
    • No Clinical Performance Data: The document explicitly states "Clinical performance testing has not been performed for the subject device."
    • No mention of AI/ML: There is no indication that this device incorporates AI or machine learning.

    Summary of why the requested information cannot be provided:

    The input document describes a physical medical device (dental glass ceramics) and its FDA 510(k) clearance process, which relies on demonstrating substantial equivalence to an existing predicate device based on physical, chemical, and biocompatibility properties. It does not involve AI or software performance metrics, clinical studies with human readers, or ground truth establishment in the context of diagnostic or interpretive tasks.

    To answer your prompt, I would need a document related to an AI/SaMD product, not a material science product.

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    K Number
    K223194
    Device Name
    Glass Ceramic
    Date Cleared
    2023-02-10

    (120 days)

    Product Code
    Regulation Number
    872.6660
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Glass Ceramic are indicated for fabricating all-ceramic restorations such as veneers, inlays, onlays, crowns, 2-unit anterior bridges, using the CAD/CAM system.

    Device Description

    Glass Ceramic is indicated for fabricating all ceramic restorations such as veneers, inlay/ onlay, partial crowns, anterior crowns, posterior crowns, using the CAD/CAM system.

    The Glass Ceramic is composed of SiO2, Li2O, K2O, P2O5, Al2O3 and other oxides, the performance of the Glass Ceramic conforms to ISO 6872: 2015 Dentistry: Ceramic Materials.

    The Glass Ceramic is disposable device, and provided as non-sterile.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a dental Glass Ceramic device and outlines non-clinical tests conducted to demonstrate substantial equivalence to a predicate device. It does not contain information about a study involving human readers, AI assistance, or expert ground truth for image analysis.

    Here's a breakdown of the available information regarding acceptance criteria and the study that proves the device meets them:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are primarily based on the ISO 6872:2015 standard for Dentistry: Ceramic Materials and relevant ISO 10993 standards for biological evaluation.

    ITEMAcceptance Criteria (from ISO Standard)Reported Device Performance (K223194)Remark
    Performance (ISO 6872:2015)
    UniformityNo segregation of pigment(s) when the powder is mixed, check by visual inspection.Conformance to requirementsSAME
    Freedom from extraneous materialsFree from extraneous materials when assessed by visual inspection.Conformance to requirementsSAME
    Radioactivity< 1.0Bq·g⁻¹ of ²³⁸U< 1.0Bq·g⁻¹ of ²³⁸USAME
    Biaxial flexureType II Class 2 > 100MPa308.4MPaDifferent 1 (Meets & Exceeds)
    Linear thermal expansion coefficientShall not deviate by more than 0.5×10⁻⁶K⁻¹ from manufacturer's stated value.10.8×10⁻⁶K⁻¹SIMILAR
    Glass transition temperatureShall not deviate by more than 20°C from manufacturer's stated value.553.5°CDifferent 2 (Meets)
    Chemical solubilityType II Class 2 < 100µg·cm⁻²9.5µg·cm⁻²SIMILAR
    Fracture toughnessType II Class 2 > 1MPa√m3.83MPa√mDifferent 3 (Meets & Exceeds)
    Biocompatibility (ISO 10993 series)
    Cytotoxicity (Agar diffusion)Conformance to requirements in ISO 10993-5Conformance to requirementsSAME
    SensitizationConformance to requirements in ISO 10993-10Conformance to requirementsSAME
    Acute systemic toxicity (Oral)Conformance to requirements in ISO 10993-11 / ISO 10993-23Conformance to requirementsSAME
    Oral mucosa irritationConformance to requirements in ISO 10993-10Conformance to requirementsSAME
    Bacterial reverse mutation (Ames test)Conformance to requirements in ISO 10993-3Conformance to requirementsSAME

    Study Proving Device Meets Acceptance Criteria:

    The study conducted was a series of non-clinical tests to verify that the proposed device met all design specifications and was Substantially Equivalent (SE) to the predicate device. The results are summarized in Section 7 and further detailed in the comparison tables (Table 5-2 for Performance and Table 5-3 for Biocompatibility).

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

    • Sample Size: The document does not specify the exact sample sizes (e.g., number of test specimens) used for each non-clinical test. It only states that "Non clinical tests were conducted".
    • Data Provenance: The tests were conducted by the manufacturer, Shenzhen Xiangtong Co.,Ltd., in China, as implied by their address and the submission origin. The tests are non-clinical, so "retrospective or prospective" doesn't directly apply in the human data sense. It refers to laboratory testing of material properties.

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

    This section is not applicable as the document describes non-clinical material testing, not a study involving human interpretation or ground truth establishment by medical experts for diagnostic purposes. The "ground truth" for these tests is defined by the objective measurement standards outlined in the ISO standards.

    4. Adjudication Method for the Test Set

    This section is not applicable as the document describes non-clinical material testing, not a study involving human interpretation or adjudication processes.

    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

    There was no MRMC comparative effectiveness study done. The device is a dental material (Glass Ceramic) used for restorations, not an AI-assisted diagnostic or imaging device.

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

    This section is not applicable as the device is a physical material, not an algorithm.

    7. The type of ground truth used

    The "ground truth" for the non-clinical tests was established by objective measurement against the specified criteria and methodologies detailed in the referenced ISO standards (e.g., ISO 6872 for ceramic materials, ISO 10993 for biological evaluation). These standards define acceptable ranges and test methods for properties like biaxial flexure strength, chemical solubility, and biocompatibility.

    8. The sample size for the training set

    This section is not applicable. The document describes the testing of a manufactured material, not a machine learning model that requires a training set.

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

    This section is not applicable for the same reason as above.

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    K Number
    K053438
    Device Name
    GLASS CERAMICS
    Date Cleared
    2006-01-18

    (40 days)

    Product Code
    Regulation Number
    872.6660
    Panel
    Dental
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Manufacture of all-ceramic inlays, onlays, crowns, and veneers.

    Device Description

    GLASS CERAMICS are classified as Porcelain powder for clinical use ( 21 C.F.R. §872.6660). They are glass ceramic blocks intended to manufacture all-ceramic inlays, onlays, crowns, and vencers. GLASS CERAMICS blocks are available in six colors (A1; A2; A3; A3.5; B3; Enamel) and five sizes (I8, 110, 112, I14, V5-12). Like the predicate devices, the glass ccramic blocks "ProCAD® blocks" and "VITABLOCS® Mark II" and the composite block "Paradigm™ MZ 100" blocks, GLASS CERAMICS blocks are grindable blocks for CAD/CAM systems. The allccramic restoration is produced in the dentist's office using the CEREC® system or in a dental laboratory using CEREC® Inlab; both systems are manufactured by the company Sirona, Bensheim, Germany (K012517). The clinical situation is optically scanned and then processed by the CEREC® 3D software. The restoration is fabricated in the CEREC® grinding unit.

    AI/ML Overview

    This document is a 510(k) summary for "GLASS CERAMICS," a dental product. A 510(k) submission is used to demonstrate that a new device is substantially equivalent to a legally marketed predicate device. This type of submission focuses on comparing the new device to existing ones rather than extensive clinical studies or establishing detailed acceptance criteria with performance metrics in the way a novel therapeutic or diagnostic device might.

    Therefore, many of the requested elements for describing "acceptance criteria and the study that proves the device meets the acceptance criteria" are not typically present in a 510(k) submission for a device like this. The primary "study" is a comparison to predicate devices to demonstrate substantial equivalence in terms of composition, performance data, and indications for use.

    Here's an attempt to answer the questions based on the provided text, highlighting where information is not available due to the nature of a 510(k) for this type of device:


    Acceptance Criteria and Study for GLASS CERAMICS (510(k) Summary)

    The provided document is a 510(k) submission summary for a dental product, "GLASS CERAMICS." For such a device, the primary "acceptance criterion" for regulatory clearance is demonstrating substantial equivalence to legally marketed predicate devices. This typically involves showing comparable composition, performance characteristics, and indications for use. Detailed quantitative performance metrics with acceptance limits and formal clinical studies with specific sample sizes, ground truth establishment, and reader adjudications, as might be found for a diagnostic AI device, are not typically reported in this type of submission.

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

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

    Since this is a 510(k) for a material (glass ceramic blocks for dental restorations), the "acceptance criteria" are not quantitative performance metrics in the way one might expect for a diagnostic or therapeutic AI device. Instead, the acceptance is based on demonstrating substantial equivalence to predicate devices in terms of composition, performance data, and indications for use. The document does not provide a table with specific numerical acceptance criteria and corresponding device performance data for metrics like accuracy, sensitivity, or specificity.

    The "reported device performance" is implicitly that it performs comparably to the predicate devices, allowing for the manufacture of all-ceramic inlays, onlays, crowns, and veneers using CAD/CAM systems.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    This information is not provided in the 510(k) summary. For a material equivalence claim, a "test set" and its provenance in the context of clinical performance data are not typically described. The comparison is primarily based on material properties and intended use.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable/not provided for this type of 510(k) submission. There is no mention of a "test set" requiring expert-established ground truth for performance evaluation in the context of diagnostic accuracy.

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

    This information is not applicable/not provided for this type of 510(k) submission.

    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

    This information is not applicable/not provided. The device is a material for dental restorations, not an AI-powered diagnostic or assistive tool for human readers.

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

    This information is not applicable/not provided. The device is a material, not an algorithm. Its use involves a human dentist or dental laboratory technician using a CAD/CAM system.

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

    This information is not applicable/not provided. Ground truth in the context of clinical diagnostic accuracy is not typically established for a dental restorative material like this in a 510(k) submission. The "ground truth" for the material's properties would be defined by standard material testing protocols, which are not detailed here.

    8. The sample size for the training set

    This information is not applicable/not provided. There is no "training set" in the context of an AI algorithm described for this device.

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

    This information is not applicable/not provided.


    Summary of the "Study" for this 510(k):

    The "study" that proves the device meets the "acceptance criteria" (i.e., substantial equivalence) is a comparison to predicate devices based on:

    • Composition: Implied to be comparable to "ProCAD® blocks," "VITABLOCS® Mark II," and "Paradigm™ MZ 100" blocks.
    • Performance Data: General statement that "performance data" shows substantial equivalence. Specific data is not detailed in this summary. This would typically involve laboratory testing of material properties (e.g., strength, durability, wear resistance) compared to the predicates.
    • Indications for Use: The new device shares the same indications as the predicates: "Manufacture of all-ceramic inlays, onlays, crowns, and veneers."

    The conclusion states: "Comparison to the predicate devices for composition, performance data and indications for use shows that GLASS CERAMICS are substantially equivalent to the predicate devices. In summary it can be concluded that safety and effectiveness requirements for GLASS CERAMICS arc fully met." The FDA's letter concurs with this substantial equivalence finding.

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