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510(k) Data Aggregation

    K Number
    K132067
    Manufacturer
    Date Cleared
    2013-12-20

    (170 days)

    Product Code
    Regulation Number
    872.3630
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MULTI ANGLED ABUTMENT SYSTEM

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

    Multi Angled Abutment system is intended for use with a dental implant to provide support for prosthetic restorations such as bridges, or overdentures.

    Device Description

    The Multi Angled Abutment is device made of titanium alloy intended for use as an aid in prosthetic restoration. The Multi Angled Abutment is used with Esthetic -low Cylinders (only Non-Hex) in the US System, K62030 and connected to HTIII SA Fixture in the HTIII SA Fixture System, K101096. The Multi Angled Abutment system consists of Abutment combined carrier that is tool to carry Multi angled abutment. and Abutment Screw. The Multi Angled Abutment system is exactly same with Multi Angled Abutment (K123755) except combined carrier. Carrier is just to carry the Multi Angled Abutment to implanted Fixture.

    AI/ML Overview

    The provided document is a 510(k) summary for the OSSTEM Multi Angled Abutment system. This submission does not describe a study to prove a device meets acceptance criteria related to its performance in terms of accuracy, sensitivity, specificity, or other similar metrics.

    Instead, this 510(k) summary is for a medical device (dental abutment). The "study" described herein is a comparison to a legally marketed predicate device to establish substantial equivalence for market clearance. This is a common regulatory pathway for medical devices and does not involve the types of performance studies or acceptance criteria typically associated with artificial intelligence or diagnostic software.

    Therefore, many of the requested sections (Table of acceptance criteria, sample sizes, expert qualifications, MRMC studies, standalone performance, training set details) are not applicable to this type of regulatory submission and device.

    Here's a breakdown of the relevant information from the document in response to your request:


    1. Table of acceptance criteria and the reported device performance

    Not applicable. This is a 510(k) submission for a mechanical dental device, not a diagnostic or AI-driven aid with performance metrics like sensitivity or specificity. The "performance" assessment here is focused on mechanical and material equivalence to a predicate device.

    Instead, the submission states:
    "The Multi Angled Abutment system is merely improved for movement convenience of abutment by combination of carrier therefore, The Multi Angled Abutment is nothing changed from predicated Multi Angled Abutment (K123755) except combined carrier"

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

    Not applicable. No "test set" in the context of performance metrics was used. The evaluation centered on design and material comparison to a predicate device.

    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)

    Not applicable. No a "ground truth" or expert review of performance data was conducted for this type of device submission. The assessment was done by the manufacturer's engineers and subsequently by the FDA reviewers.

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

    Not applicable.

    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 device is not an AI-assisted diagnostic tool.

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

    Not applicable. This device is not an algorithm.

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

    Not applicable. The "ground truth" equivalent in this context is the design specifications, material properties, and intended use of the legally marketed predicate device (K123755). The new device is compared against these established characteristics to demonstrate substantial equivalence.

    8. The sample size for the training set

    Not applicable. No training set was used.

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

    Not applicable.


    Summary of the Study/Evaluation for Substantial Equivalence:

    The "study" or evaluation performed for the K132067 submission was a comparison of the Multi Angled Abutment system to a legally marketed predicate device (Multi Angled Abutment, K123755).

    • Acceptance Criteria (Implicit for Substantial Equivalence): The primary "acceptance criterion" was to demonstrate that the new device is as safe and effective as the predicate device, or is substantially equivalent. This means:
      • Same intended use.
      • Same or similar technological characteristics.
      • If there are differences in technological characteristics, those differences do not raise different questions of safety and effectiveness.
    • Reported Device Performance (in context of substantial equivalence): The document reports that the Multi Angled Abutment system is "exactly same with Multi Angled Abutment (K123755) except combined carrier." The carrier is described as "just to carry the Multi Angled Abutment to implanted Fixture." This modification is stated to be "merely improved for movement convenience of abutment."
      • Intended Use: Identical for both new and predicate device: "intended for use with a dental implant to provide support for prosthetic restorations such as bridges, or overdentures."
      • Abutment Angle (°): 17, 30 (same for both)
      • Platform (Ø): 4.8 (same for both)
      • Connection: The core abutment components are identical to the predicate (K123755). The only difference is the addition of a combined carrier.
    • Nonclinical Testing: "The risks associated with the modification were evaluated via a DCAS table and it was determined that no performance testing is needed. However, minor modifications were made to the labeling." This indicates that the manufacturer determined the change (addition of a carrier) did not warrant new mechanical or material testing as the core functional components of the abutment remained unchanged from the predicate.
    • Clinical Testing: "No clinical studies are submitted."

    In essence, the entire argument for meeting the "acceptance criteria" for market clearance (substantial equivalence) is built on the claim that the device is fundamentally the same as its predicate, with a minor, non-performance-affecting addition.

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    K Number
    K123755
    Date Cleared
    2013-04-26

    (140 days)

    Product Code
    Regulation Number
    872.3630
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    MULTI ANGLED ABUTMENT

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

    Multi Angled Abutment is intended for use with a dental implant to provide support for prosthetic restorations such as bridges, or overdentures.

    Device Description

    The Multi Angled Abutment is device made of titanium alloy intended for use as an aid in prosthetic restoration. The Multi Angled Abutment is used with Esthetic -low Cylinders (only Non-Hex) in the US System. K62030 and connected to HTIII SA Fixture in the HT3 SA Fixture System, K101096. The Multi Angled Abutment consists of Abutment and Abutment Screw. The Multi angle Abutment is used to elevate restoration platform when restoration to implant level is not practical due to depth or angle of implant for the edentulous patients in Anterior and Posterior, not customizable and can't be use a single product.

    AI/ML Overview

    This document describes the K12-3755 Multi Angled Abutment, a dental device. The 510(k) summary provided does not contain the typical details of a study proving a device meets acceptance criteria as this is a premarket notification for substantial equivalence. Instead, it focuses on demonstrating that the new device is as safe and effective as a legally marketed predicate device.

    Here's an analysis based on the provided text, addressing the points where information is available and noting where it is not relevant or not provided for this type of submission:

    1. Table of Acceptance Criteria and Reported Device Performance

    For a 510(k) submission seeking substantial equivalence for a dental abutment, the "acceptance criteria" are primarily established by demonstrating equivalency in material, design, function, and intended use to a predicate device, and ensuring safety through non-clinical testing. Performance is measured against the predicate.

    Feature/TestAcceptance Criteria (Implicit from Predicate)Reported Device Performance (Multi Angled Abutment)
    Material CompositionSame as predicate (Titanium alloy)Made of the same material (Titanium alloy)
    Manufacturing ProcessSame as predicateSame manufacturing process
    Chemical CompositionSame as predicateSame chemical composition
    Body ContactSame as predicateSame body contact characteristics
    Intended Use"For use with a dental implant to provide support for prosthetic restorations such as crowns, bridges, or overdentures." (Predicate: K110308)"Intended for use with a dental implant to provide support for prosthetic restorations such as bridges, or overdentures." (Slight wording difference, but identical core intent)
    Design Characteristics (Dimensions)Predicate dimensions: A(°): 17, 30; B(mm): 5, 5.1, 5.5, 5.6, 6, 6.1, 6.5, 6.6, 7.5, 7.6; C(Ø): 2.84, 2.88, 3.39, 3.43; D(Ø): 4.9Multi Angled Abutment dimensions: A(°): 17, 30; B(mm): 3.17, 3.4, 4.17, 4.4, 4.76, 4.86, 5.17, 5.4, 5.76, 5.86, 6.76, 6.86; C(Ø): 2.88, 3.43; D(Ø): 4.8. (Note: different range of 'B' and 'D' but within a similar functional context for dental abutments)
    Connection (Abutment/Implant)No modification to the abutment/implant connection compared to the predicateNo modification to the abutment/implant connection, no difference compared to predicate device (K110308)
    Safety TestsCompliance with applicable international and US regulations (biocompatibility, risk analysis, dimension inspection)Biocompatibility considered, risk analysis and dimension inspection conducted.

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

    • Sample Size: Not applicable. This submission is for substantial equivalence and relies on non-clinical testing and comparison to a predicate device, not a human clinical trial with a "test set" in the traditional sense.
    • Data Provenance: The manufacturer, OSSTEM Implant Co., Ltd., is located in Busan, Republic of Korea. The non-clinical testing data would originate from their internal processes or contracted labs. The data is "retrospective" in the sense that it's a comparison to an already marketed device.

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

    • Number of Experts & Qualifications: Not applicable. Ground truth for a clinical test set is not relevant for this type of 510(k) submission, which focuses on non-clinical aspects and comparison to a predicate device's established performance and safety record.

    4. Adjudication Method for the Test Set

    • Adjudication Method: Not applicable for the reasons stated above.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs without AI Assistance

    • MRMC Study: Not applicable. This device is a passive dental abutment, not an AI-assisted diagnostic tool.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    • Standalone Performance: Not applicable. This device is a physical dental component, not an algorithm.

    7. The Type of Ground Truth Used

    • Type of Ground Truth: The "ground truth" in this context is the established safety and effectiveness of the predicate device (Prosthetic System, K110308). The new device demonstrates substantial equivalence through material comparison, design comparison, non-clinical safety tests (biocompatibility, risk analysis, dimension inspection), and alignment of intended use. There is no pathology or outcomes data from a clinical study for this specific device.

    8. The Sample Size for the Training Set

    • Training Set Sample Size: Not applicable. This is not a machine learning or AI device that requires a training set.

    9. How the Ground Truth for the Training Set Was Established

    • Ground Truth for Training Set: Not applicable for the reasons stated above.
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