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510(k) Data Aggregation

    K Number
    K173819
    Date Cleared
    2018-08-09

    (234 days)

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

    MyPlant II Implant System

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

    The MyPlant II implants are surgically placed in the maxilla or mandible to enable prosthetic restorations in edentulous or partially edentulous patients. The implants are to be used exclusively prith MyPlason and and prosthetic components. The abutments serve for prosthetic restorations and can include individual crowns, bridges, partial or full prostheses. Abutments can be used for single tooth restorations or for the restoration of several teeth. The implants are intended for delayed loading with two surgical interventions. In castof oppriate primary stability (35 Ncm), immediate temporary restoration with appropriate occlusal load can also be appriverad.

    Device Description

    The MyPlant II implant system serves as a tooth root substitute and can be used in free jaw sections or edentulous jaws. The MyPlant II implant is made of pure titanium Grade 4 (3.7065). The implant surface is micro-structured. The surface structure is created by blasting with white corundum (> 99 % AlsO3 = aluminum oxide) and etching with acid. Prosthetic connection and thus force transmission is conveyed via an internal cone. A sterile cover screw of 1 mm height is enclosed with each implant to enable an immediate occlusion of the internal thread after successful insertion. The implants are supplied sterile and are intended for single use. MyPlant II Implant System includes various implant variations with different diameters and lengths.

    Dental abutments are used to support prosthetic reconstruction. Prosthetic applications can include individual crowns, bridges, partial or full prostheses. Abutments can be used for the replacement of one or more teeth. Depending on the indication and the anatomical conditions, the user will use several components for the specific prosthetic purpose. All components are made of a material suitable for the purpose of the application. The abutments are made of pure titanium Grade 4 (3.7065), titanium alloy Grade 5-ELI (Grade 23/3.7165), or PEEK. Except for the PEEK healing caps, the abutment surface is anodized. Connection to the implant is assured via an internal tapered connection as well as a metric thread. In the case of Abutments 0° / 15° and Shoulder Abutments, the abutment screw is not anodized and undergoes laser welding to connect the threaded sleeves with the shaft. The subject abutments are listed in a table with article number, description, and specifications.

    AI/ML Overview

    The document provided is a 510(k) Premarket Notification from the FDA for the MyPlant II Implant System. It primarily focuses on demonstrating substantial equivalence to predicate devices rather than proving specific acceptance criteria through a study with performance metrics.

    Therefore, many of the requested details about acceptance criteria and study design are not explicitly available or applicable in the provided text. The document's purpose is to show that the new device is as safe and effective as a legally marketed one, not to independently prove its performance against a set of acceptance criteria in a quantitative sense with a large-scale clinical study that would yield metrics like sensitivity, specificity, or effect sizes for human readers.

    However, I can extract information related to the non-clinical tests performed to demonstrate substantial equivalence, which can be seen as meeting certain underlying "acceptance criteria" for material, sterility, and mechanical performance.

    Here's a breakdown based on the provided text:

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

    The document does not present a table of explicit acceptance criteria and corresponding reported device performance in the manner typically seen for diagnostic algorithms (e.g., sensitivity, specificity, F-score). Instead, it lists performance tests and validations conducted against established standards to demonstrate the safety and effectiveness of the dental implant system. The "performance" is reported as conformance to these standards.

    Acceptance Criteria (Standard Conformance)Reported Device Performance (Conformance)
    Gamma sterilization validation according to ISO 11137-1 and 11137-2Conducted on the subject device and met the standards.
    Steam sterilization validation according to ISO 17665 and ST79Referenced from K132214 (predicate/reference device), implying the subject device meets these by equivalence.
    Cleaning validation: LAL endotoxin test according to USP [85] and ANSI AAMI ST72Referenced from K132214, implying the subject device meets these by equivalence.
    Sterile barrier system validation according to ISO 11607, ASTM F88/F88M-15 and ASTM F1929-15Conducted on the subject device and met the standards.
    Biocompatibility assessment according to ISO 10993-1 and cytotoxicity testing according to ISO 10993-5Proposed implants: referenced from K143539. Proposed abutments: conducted on the subject device. Both met the standards.
    Fatigue testing according to ISO 14801 and FDA Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Implant AbutmentsConducted on the subject device and met the standards. Effect of design change (inner cone connection extension) evaluated by fatigue testing and FEM analysis.

    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 applicable/not provided in the context of this 510(k) submission. The document reports on non-clinical (laboratory) tests and relies on equivalence to predicate devices, rather than a clinical study with a "test set" of patients or data in the way an AI/software device would. The "samples" referred to are physical device components for testing (e.g., for fatigue, sterilization).

    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 is not applicable/not provided. The ground truth for the non-clinical tests (e.g., successful sterilization, lack of cytotoxicity, fatigue resistance) is established by adherence to recognized international and national standards and validated laboratory procedures, not by expert consensus on clinical cases.

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

    This is not applicable/not provided. Adjudication methods are typically relevant for clinical studies that involve human interpretation or subjective assessment. The tests performed are objective, based on standardized protocols.

    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 is not applicable/not provided. The MyPlant II Implant System is a physical medical device (dental implants and abutments), not an AI/software device. Therefore, a multi-reader multi-case (MRMC) comparative effectiveness study with human readers (e.g., dentists, radiologists) and AI assistance is not relevant or described in this document.

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

    This is not applicable/not provided. The device is a physical dental implant system, not a standalone algorithm.

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

    The "ground truth" for the non-clinical tests is established by technical standards and validated laboratory methods. For example:

    • Sterilization: Demonstrated sterility to a specified sterility assurance level (SAL).
    • Biocompatibility: Absence of toxic effects as per ISO 10993.
    • Fatigue: Resistance to fracture or failure under specified cyclic loading as per ISO 14801.

    8. The sample size for the training set

    This is not applicable/not provided. This document pertains to a physical medical device. The concept of a "training set" is relevant for AI/machine learning models, which are not the subject of this 510(k) submission.

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

    This is not applicable/not provided for the same reasons as point 8.

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