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510(k) Data Aggregation

    K Number
    K170031
    Manufacturer
    Date Cleared
    2017-08-31

    (239 days)

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

    Internal Octa Implant System

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

    The Internal Octa Implant System is intended for placement in the maxillary and/or mandibular arches to support crowns, bridges, or overdentures in edentulous or partially edentulous patients. The Internal Octa Implant System is intended for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

    Device Description

    An endosseous dental implant is a device made of Pure Titanium Grade 4. Internal Octa Implant System has been designed to accommodate the following dental implant restoration protocols; Immediate or Early loading, immediate placement or one or two stage placements. Internal Octa Implant Systems help patients who have partial or whole teeth loss mastication to chew as dental implant. The Internal Octa Implant System has an internal connection. The surface of the system has been treated with SLA (Sandblast, Large grit Acid etched).

    There are 3different kinds of fixtures, BLT III, Precision III and LISA Implants. The only differences between these implants are designs and dimensions. The appearance of implants is different depending on the presence of cutting edge and taper. The Fixtures are supplied sterile.

    AI/ML Overview

    This document describes the regulatory approval for the "Internal Octa Implant System," a dental implant. It is a 510(k) submission, meaning the manufacturer is demonstrating that their new device is "substantially equivalent" to existing, legally marketed devices (predicates).

    Therefore, the performance data presented here is related to demonstrating substantial equivalence, primarily through bench testing and comparison to predicates, rather than extensive clinical studies or AI model performance as would be seen for a novel diagnostic AI device.

    Given that this document is for a dental implant system, and not an AI-based diagnostic device, it does not contain the information required to populate a table of acceptance criteria for AI performance metrics (like sensitivity, specificity, AUC), nor does it describe a study involving human readers or AI in the way your prompt defines. The performance data provided is focused on material biocompatibility and physical characteristics of the implant.

    Let's break down why this document doesn't fit your prompt's requirements:

    • No AI Component: The document describes a physical medical device (dental implants made of titanium). There is no mention of artificial intelligence, diagnostic algorithms, or image analysis performed by an AI.
    • No Diagnostic Performance Metrics: Given the above, there are no references to sensitivity, specificity, AUC, or other metrics typically associated with AI diagnostic performance.
    • No Human Reader Studies: Since it's a physical implant, there are no studies detailed that involve human readers (like radiologists) interpreting images with or without AI assistance.
    • Ground Truth: The "ground truth" for a dental implant would be related to its physical properties, biocompatibility, and intended function in the human body, not an expert consensus on image interpretation.
    • Training/Test Sets for AI: These concepts are irrelevant as there is no AI model being trained or tested.

    However, to answer your prompt in the context of this specific document, I will interpret "acceptance criteria and reported device performance" as the basis for substantial equivalence for this medical device, and then address the other points by stating their inapplicability to this type of device submission.


    Acceptance Criteria and Reported Device Performance (as applied to Substantial Equivalence for a Dental Implant):

    For this Traditional 510(k) submission, the "acceptance criteria" revolve around demonstrating that the Internal Octa Implant System is as safe and effective as its predicate devices. This is achieved through various forms of bench testing and comparison of physical and material characteristics.

    1. Table of Acceptance Criteria and Reported Device Performance (Interpreted for a Dental Implant):

    Acceptance Criterion (for Substantial Equivalence)Reported Device Performance
    Material: Fabricated from CP Titanium (Grade 4) conforming to ASTM F67.The device is fabricated from CP Titanium (Grade 4) that conforms to ASTM F67.
    Biocompatibility: Pass tests in accordance with ISO 10993-1:2009.Biocompatibility Testing (cytotoxicity, sensitization, irritation, acute systemic toxicity) was performed and met the criteria of the standards.
    Surface Characterization: Demonstrate surface roughness, SEM, and EDS.Surface roughness demonstration, surface SEM, and surface EDS were performed. Results met the criteria of the standards.
    Endotoxin Testing: Pass LAL Endotoxin testing in accordance with ANSI/AAMI ST 72:2011, USP and .LAL Endotoxin testing was performed and met the criteria of the standards.
    Sterilization: Demonstrate compliance with ISO 11137-1,-2,-3 (leveraged from predicate K073116).Sterilization Test was leveraged from predicate K073116 and met the criteria. Device is Radiation Sterile.
    Shelf Life: 5 years, demonstrated according to ISO 11607-1, -2, and ASTM F1980-07 (leveraged from predicate K073116).Shelf life Validation Test was leveraged from predicate K073116 and met the criteria. Declared shelf life is 5 years.
    Intended Use: Match predicate devices' intended use.The Internal Octa Implant System has a substantially equivalent intended use to the identified predicates.
    Design/Dimensions: Be within ranges comparable to predicate devices, with noted differences addressed.Provides detailed tables comparing Body Diameters, Platform Diameters, Total Lengths, Connection Type, and Implant Type to predicate devices, stating similarity or addressing differences (e.g., LISA Implant concavity).
    Fundamental Scientific Technology: Be similar in materials and design principles to predicates.Stated to be similar in fundamental scientific technology in that they are designed, manufactured, and tested in compliance with "FDA's Class II special controls guidance document root-form endosseous dental implants and endosseous dental implant abutment," and "all constructed of titanium."

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

    • This document does not describe a "test set" in the context of an AI model evaluating data.
    • For the bench testing (biocompatibility, surface characterization, endotoxin), the sample sizes would refer to the number of individual implant units or material samples tested. These specific numbers are not provided in this summary document but would be detailed in the full test reports referenced (e.g., in the ISO 10993 reports).
    • Data Provenance: The bench testing would have been conducted in a laboratory setting, likely affiliated with the manufacturer (EBI Inc. in Republic of Korea) or a contract testing organization. The data is prospective in the sense that the tests were performed specifically for this submission.

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

    • This concept is not applicable to this submission. "Ground truth" for a dental implant is established through engineering specifications, material science standards (ASTM, ISO), and regulatory requirements, not through expert consensus on images.
    • The judgment of substantial equivalence is made by reviewers at the FDA based on the submitted technical data and comparison to predicates.

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

    • This concept is not applicable to this submission, as there is no "test set" requiring adjudication by multiple readers or experts for diagnostic accuracy.

    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. This is a submission for a physical dental implant, not an AI-assisted diagnostic device. Therefore, there is no "human-in-the-loop performance" or "effect size of human readers improving with AI" relevant to this document.

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

    • No standalone algorithm performance was done. This document describes a physical medical device, not a software algorithm.

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

    • The "ground truth" or standard for acceptance here is compliance with pre-defined engineering standards (ASTM, ISO), material properties, and biological compatibility as demonstrated through standardized bench testing. It's essentially a "comparison to technical specifications and regulatory standards" truth.

    8. The sample size for the training set:

    • Not applicable. There is no AI model being trained, so no training set exists.

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

    • Not applicable. As there is no AI model, there is no training set and therefore no ground truth to be established for it.
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