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510(k) Data Aggregation

    K Number
    K142623
    Date Cleared
    2015-02-26

    (163 days)

    Product Code
    Regulation Number
    872.3275
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    PANAVIA SA Cement Plus Handmix

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

    [1] Cementation of crowns, bridges, inlays and onlays
    [2] Cementation of prosthetic restorations on implant abutments and frames
    [3] Cementation of adhesion bridges and splints
    [4] Cementation of posts and cores
    [5] Amalgam bonding

    Device Description

    The subject device is a dual-cure (light- and/or self-cure), fluoride releasing, radiopaque self-adhesive resin cement for ceramic (porcelain, lithium disilicate, zirconia, etc.), composite resin, and metal restorations.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a dental cement device, PANAVIA SA Cement Plus Handmix. It is not an AI/ML medical device, therefore, the requested information about acceptance criteria, study details for AI/ML performance, and human reader comparative effectiveness studies is not applicable.

    This document describes the substantial equivalence of the new device to existing predicate devices based on:

    1. Intended Uses: The intended uses of the subject device are substantially equivalent to those of the predicate devices.
    2. Chemical Ingredients/Safety: While the subject device contains 5 new ingredients, biological safety tests (referring to ISO 10993 series and ISO 7405) concluded substantial equivalence to the predicate device in biological safety.
    3. Technological Characteristics/Effectiveness and Performance: Physical and mechanical properties were evaluated according to ISO 4049:2009. Tensile bond strength to bovine dentin and shear bond strength to implant abutment were evaluated according to ISO/TS 11405:2003. Released fluorine ion levels were also compared.

    Table of Acceptance Criteria and Reported Device Performance (based on provided information):

    Performance Metric (ISO Standard)Acceptance Criteria (Compliance)Reported Device Performance (PANAVIA SA Cement Plus Handmix)
    Film thickness, luting materials (ISO 4049: 5.2.2)COMPLIESCOMPLIES
    Working time, Class 1 and Class 3 luting materials (ISO 4049: 5.2.4)COMPLIESCOMPLIES
    Setting time, Class 3 materials (ISO 4049: 5.2.6)COMPLIESCOMPLIES
    Flexural strength (ISO 4049: 5.2.9)COMPLIESCOMPLIES
    Water sorption (ISO 4049: 5.2.10)COMPLIESCOMPLIES
    Solubility (ISO 4049: 5.2.10)COMPLIESCOMPLIES
    Color stability after irradiation and water sorption (ISO 4049: 5.4)COMPLIESCOMPLIES
    Radio-opacity (ISO 4049: 5.5)COMPLIESCOMPLIES
    Tensile bond strength to bovine dentin (ISO/TS 11405: 2003)In-house standard COMPLIESCOMPLIES (no statistically significant difference from predicate)
    Shear bond strength to implant abutment (ISO/TS 11405: 2003)In-house standard COMPLIESCOMPLIES (no statistically significant difference from predicate)
    Released fluorine ionSubstantially equivalent to predicateSubstantially equivalent to predicate

    Summary of Device Evaluation for AI/ML-specific questions:

    The provided document does not pertain to an AI/ML medical device. Therefore, the following information is not present and not applicable:

    • Sample size for the test set and data provenance: Not applicable.
    • Number of experts used to establish ground truth for the test set and their qualifications: Not applicable.
    • Adjudication method for the test set: Not applicable.
    • Multi-reader multi-case (MRMC) comparative effectiveness study: Not applicable.
    • Standalone (algorithm only) performance study: Not applicable.
    • Type of ground truth used: Not applicable.
    • Sample size for the training set: Not applicable.
    • How the ground truth for the training set was established: Not applicable.
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