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510(k) Data Aggregation

    K Number
    K153758
    Date Cleared
    2016-03-23

    (84 days)

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

    Straumann Bone Level Tapered Implants

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

    Straumann® Bone Level Tapered Implants are indicated for oral endosteal implantation in the upper and lower jaw and for the functional and esthetic oral rehabilitation of edentulous and partially dentate patients. Straumann Bone Level Tapered Implants can also be used for immediate or early implantation following extraction or loss of natural teeth. Implants can be placed with immediate function on single-tooth and/or multiple tooth applications when good primary stability is achieved and with appropriate occlusal loading, to restore chewing function. The prosthetic restorations used are single crowns, bridges and partial or full dentures, which are connected to the implants by the corresponding elements (abutments).

    Device Description

    The subject devices represent a line extension of the previously cleared Bone Level Tapered Implants of the Straumann Dental Implant System (K140878 and K150938). The subject devices have the same diameters (3.3, 4.1 and 4.8 mm), the same implant-to-abutment interfaces (NC, RC), the same material (Ti-13Zr) and the same surface finishes (SLA, SLActive) as the identified primary predicate devices. The subject devices differ in that the lengths are 18 mm versus a maximum length for the primary predicate devices of 16 mm.

    AI/ML Overview

    This document describes the Straumann® Bone Level Tapered Implants, a line extension of existing dental implants. The new implants are identical to previously cleared devices except for an increased length (18mm vs. previous maximum of 16mm).

    Here's an analysis of the acceptance criteria and study information provided:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state "acceptance criteria" for the new 18mm implant length in a quantitative format as would typically be seen for AI/ML device performance. Instead, it relies on comparison to predicate devices and performance of specific bench tests. The primary acceptance criteria for the new device appear to be:

    • Substantial Equivalence: The subject device is substantially equivalent to the identified predicate devices in terms of indications for use, technological characteristics (except length), and performance.
    • Safety and Effectiveness through Bench Studies: The device must satisfactorily address safety and effectiveness through relevant bench studies, particularly dynamic fatigue, biological compatibility, sterilization validation, and shelf life, consistent with FDA guidance and ISO standards.
    • No New Failure Modes: The new, longer implants, especially the smallest diameter (3.3mm), must not introduce new failure modes compared to predicate or reference devices when tested under simulated clinical conditions.
    Acceptance CriterionReported Device Performance/Findings
    Substantial Equivalence to Predicate Devices (K140878, K150938)The subject devices are stated to be "identical in every respect to the identified Bone Level Tapered predicate devices with the exception of overall length".
    Dynamic Fatigue Test (consistent with FDA guidance and ISO 14801)Incorporated by reference to primary predicate (K140878). Implies the predicate met this, and by extension, the new device, being identical except length, is considered to meet it.
    Biological Compatibility (per ISO 10993 series standards)Incorporated by reference to primary predicate (K140878). Implies the predicate met this, and by extension, the new device, using the same materials, is considered to meet it.
    Sterilization Validation (per ISO 11137 series standards)Incorporated by reference to primary predicate (K140878). Implies the predicate met this.
    Shelf Life (stability) (per ASTM F1980)Incorporated by reference to primary predicate (K140878). Implies the predicate met this.
    No new failure modes due to reduced minimum implant diameter (Ø3.3 mm vs. Neodent CM Drive Ø3.5 mm) - specifically for peak insertion torque while driving implants into simulated bone.Peak insertion torque was measured on all three diameters (3.3, 4.1, 4.8 mm) of the subject device in polyurethane foam of varying densities. The conclusion states that based on the assessment of design and performance data, the devices are substantially equivalent. This implies no new failure modes were identified.

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

    • Test Set Sample Size: Not explicitly stated as a number of devices or clinical cases. The "test set" here refers to the samples used in the bench studies.
      • For the peak insertion torque study: "all three diameters of the subject device" were tested. It is not specified how many samples per diameter were tested.
      • For the studies incorporated by reference (dynamic fatigue, biological compatibility, sterilization, shelf life), the sample sizes are not provided in this document but would have been part of the K140878 submission.
    • Data Provenance: Bench studies. There is no indication of human clinical data or geographical origin for this specific submission, as it focuses on extended length and comparison to predicates through bench testing.

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

    Not applicable in the context of this submission. The "ground truth" for these types of mechanical and biological tests is derived from standardized testing methods and material properties, not expert clinical interpretation of data.

    4. Adjudication Method for the Test Set

    Not applicable. Adjudication methods are relevant for studies involving human reviewers or subjective interpretations. The studies described are objective bench tests.

    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

    Not applicable. This device is a physical dental implant, not an AI/ML-driven diagnostic or assistive software. Therefore, no MRMC or AI-related studies were performed.

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

    Not applicable, as this is not an AI/ML device.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The ground truth for the performance claims in this submission is established through:

    • Standardized Bench Testing: Adherence to international standards (e.g., ISO 14801, ISO 10993, ISO 11137, ASTM F1980) for mechanical strength, biocompatibility, sterilization, and stability.
    • Material Specifications: Properties of the Roxolid® (Ti-13Zr) alloy and other materials.
    • Clinical Experience/Predicate Devices: The established safety and effectiveness of the existing Straumann® Bone Level Tapered Implants and reference devices.

    8. The Sample Size for the Training Set

    Not applicable, as this is not an AI/ML device.

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

    Not applicable, as this is not an AI/ML device.

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