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510(k) Data Aggregation

    K Number
    K192530
    Manufacturer
    Date Cleared
    2020-01-23

    (129 days)

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

    Surefil one Self-adhesive Composite Hybrid

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

    Class I to Class V restorations Core build up

    Device Description

    The subject Surefil one™ Self-adhesive Composite Hybrid is an self- adhesive dental restorative material which is intended to be used as a restorative filling material for direct restorations. The "composite hybrid" composition of the subject device is based on resin-modified glass ionomer chemistry and is provided in a powder/liquid formulation in a mixing capsule.

    The subject Surefil one™ Self-adhesive Composite Hybrid offers is available in multiple shades and exhibits the following features:

    • Self-adhesiveness to enamel and dentin
    • Fluoride release
    • Bulk fill and dual-cure
    • Radiopacity (equivalent to 2mm aluminum).
    AI/ML Overview

    The provided text describes the Dentsply Sirona Surefil one™ Self-adhesive Composite Hybrid, a dental restorative material, and its substantial equivalence determination by the FDA based on non-clinical performance data.

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document does not explicitly state numerical "acceptance criteria" for each test. Instead, it states that the performance "satisfactorily met the requirements" and that the device "conforms to the requirements" of the standards. The reported device performance is presented as meeting these standards.

    Test ParameterAcceptance Criteria (Implied)Reported Device Performance
    Non-Clinical Performance DataComplies with ISO 9917-2:2017 and internal Dentsply Sirona criteria.
    Compressive strengthSatisfactorily met requirementsMet requirements
    Flexural strengthSatisfactorily met requirementsMet requirements
    Setting timeSatisfactorily met requirementsMet requirements
    Radio-opacitySatisfactorily met requirementsMet requirements
    Shear bond strength to enamelSatisfactorily met requirementsMet requirements
    Shear bond strength to dentinSatisfactorily met requirementsMet requirements
    Shear bond strength to compositeSatisfactorily met requirementsMet requirements
    Enamel wear (including ACTA wear test)Satisfactorily met requirementsMet requirements
    BiocompatibilityComplies with EN ISO 10993-1.
    Cytotoxicity testingSatisfactorily met requirementsMet requirements
    Chemical analysis of leachable organic and inorganic compoundsSatisfactorily met requirementsMet requirements

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

    The document states that "In-vitro bench tests were performed" and "Comparartive tests were performed between the proposed Surefil one™ Self-adhesive Composite Hybrid and the predicate device (K130223)". However, the specific sample sizes used for each test are not provided in this document. The data provenance is described as non-clinical in-vitro bench tests conducted by Dentsply Sirona, referencing ISO 9917-2:2017 and EN ISO 10993-1. There is no information about country of origin of the data beyond "internal Dentsply Sirona criteria". The data is prospective for the purpose of this submission (i.e., new tests were performed).

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

    Since this study involves non-clinical in-vitro bench testing of physical and chemical properties of a dental restorative material, the concept of "experts used to establish ground truth" as it would apply to diagnostic imaging or clinical decisions is not directly applicable. The "ground truth" for these tests is based on established international standards (ISO, EN ISO) and internal company criteria, which are derived from scientific principles and industry best practices for material characterization. No information on human experts establishing ground truth for these in-vitro tests is provided.

    4. Adjudication Method for the Test Set

    As explained above, since the study involves non-clinical in-vitro bench testing, an adjudication method for human-read interpretations is not applicable or mentioned. The results of these tests are objective measurements against predefined criteria/standards.

    5. Multi Reader Multi Case (MRMC) Comparative Effectiveness Study

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. The study described is a non-clinical bench study comparing the physical and chemical properties of the device against a predicate and established standards, not an evaluation of human reader performance with or without AI assistance.

    6. Standalone Performance Study

    Yes, a standalone study was done in the sense that the device's performance was evaluated independently through in-vitro bench tests. This refers to the algorithm/device itself (the dental material in this case) and its intrinsic properties, without human-in-the-loop performance measurement.

    7. Type of Ground Truth Used

    The ground truth used for the non-clinical tests is based on scientific measurement against established international standards (e.g., ISO 9917-2:2017, EN ISO 10993-1) and internal Dentsply Sirona criteria. This is essentially an objective, measured characteristic rather than an expert consensus, pathology, or outcomes data in the traditional medical device sense.

    8. Sample Size for the Training Set

    This document describes a premarket notification for a physical medical device (dental restorative material), not an AI/ML-driven device that requires training data. Therefore, the concept of a "training set" and its sample size is not applicable to this submission.

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

    As stated above, a training set is not applicable to this type of device.

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