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510(k) Data Aggregation

    K Number
    K221315
    Date Cleared
    2023-10-25

    (537 days)

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

    UNIdental Symphony Implant System

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

    The UNIdental Symphony Implant System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including cemented retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework. The UNIdental Symphony Implant System is for single and two stage surgical procedures. It is intended for delayed loading.

    Device Description

    The UNIdental Symphony Implant System is a dental implant system made of Titanium 6AL 4V ELI alloy and CP Ti Grade 4 intended to be surgically placed in the bone of the upper or lower jaw arches for loading after a conventional healing period. The implants may be used to replace one or more missing teeth. The systems are similar to other commercially available products based on the intended use, the technology used, the claims, the material composition employed and performance characteristics. Symphony 1 Fixture is Bone level, and Symphony 2 Fixture is Tissue level.

    Symphony 1 Fixture is a taper shape that gradually decreases the outer diameter of the lower part from the upper part.

    And It is a taper shape that gradually decreases the outer diameter of the lower part from the upper part. It is a structure that can perform a tapping function at the same time without a separate tap. It couples up with the abutment and its hexagon shape.

    Symphony 2 Fixture is a structure with a round shape at the end. It couples up with the abutment and its octagon shape. The area that touches the patient's gums is pure titanium surface.

    The upper structure of the abutments support prosthetics such as artificial teeth to restore patient's total mouth function.

    AI/ML Overview

    The provided text details the 510(k) summary for the UNIdental Symphony Implant System, focusing on its substantial equivalence to predicate devices rather than directly presenting acceptance criteria and performance data in the traditional sense of a clinical study for an AI/CADe device.

    This document describes a dental implant system, which is a physical medical device, not a software or AI-driven diagnostic device. Therefore, the questions related to "AI vs without AI assistance," "standalone algorithm performance," "number of experts for ground truth," "adjudication methods," and "training/test set size and provenance" are not applicable to this type of medical device submission.

    The "acceptance criteria" for a dental implant system of this nature typically revolve around meeting established engineering standards and demonstrating comparable performance (e.g., mechanical strength, biocompatibility, sterilization efficacy) to already cleared predicate devices. The "study that proves the device meets the acceptance criteria" refers to the non-clinical testing performed to demonstrate substantial equivalence.

    Here's an interpretation of the provided information based on the typical requirements for a physical medical device:

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

    The document doesn't explicitly list "acceptance criteria" in a numerical table format for each performance metric, as one might see for an AI device's sensitivity/specificity. Instead, the acceptance is implicitly demonstrated by showing substantial equivalence to existing predicate devices through various non-clinical tests and material comparisons. The "performance" is implicitly deemed acceptable if it meets the established standards that the predicates have also met.

    Acceptance Criteria (Implied)Reported Device Performance (Demonstrated by Substantial Equivalence and Non-Clinical Testing)
    Intended Use EquivalenceMatches the intended use of predicate devices (partially or fully edentulous mandibles and maxillae, supporting single/multi-unit restorations).
    Technological Characteristics EquivalenceUses similar designs, operating principles, materials (Titanium 6AL 4V ELI alloy and CP Ti Grade 4), and sterilization methods (Gamma, Steam).
    BiocompatibilityBiocompatibility tests performed per ISO 10993-3, 5, 6, 10, and 11, indicating device is biocompatible.
    Sterilization EfficacySterilization validating testing performed per ISO 11137 (gamma) and ISO 17665-1/17665-2 (steam), demonstrating effective sterilization.
    Mechanical Strength/FatigueCompressive load and fatigue tests performed in accordance with ISO 14801, demonstrating mechanical integrity comparable to predicate devices. The text explicitly states, "We have conducted a fatigue test and the subject device is substantially equivalent to the predicate device."
    Shelf-life StabilityShelf-life testing performed in accordance with ASTM F1980, ISO 11607, ASTM F88, ASTM F1140, ASTM F1929, ASTM F2096, and ISO 11737-2, indicating stable performance over time.
    Surface CharacteristicsSEM and EDS performed to evaluate fixture surface characteristics after SLA treatment. (Implied acceptability of surface given no issues raised).
    Bacterial Endotoxin Levels (LAL)LAL tests performed in accordance with USP 85. (Implied acceptable levels given no issues raised).
    MRI SafetyNon-clinical worst-case MRI review performed based on existing literature (e.g., Kim et al. 2019, Woods et al. 2019) and alignment with FDA guidance, concluding safety in MRI environment due to material properties.

    2. Sample sized used for the test set and the data provenance:

    • Sample Size for Test Set: Not explicitly stated as a "test set" in the context of an AI model. For the non-clinical physical testing (fatigue, biocompatibility, sterilization, etc.), the sample sizes would be determined by the specific ISO/ASTM standards referenced. These standards usually specify the number of samples required for robust statistical analysis to demonstrate compliance. This is not a "data provenance" like for AI models, but rather the laboratory conditions under which the physical tests were conducted. The document doesn't specify the country of origin for the non-clinical testing data, but the submitter is UNIdental Co., Ltd. in Korea. This is inherently a prospective testing process for the device being submitted.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not Applicable. This is a physical dental implant, not a diagnostic AI device requiring expert consensus for ground truth.

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

    • Not Applicable. See point 3.

    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 is a physical dental implant, not an AI-assisted diagnostic device.

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

    • Not Applicable. This is a physical dental implant, not an algorithm.

    7. The type of ground truth used:

    • For physical devices, "ground truth" is established through adherence to recognized national and international consensus standards (e.g., ISO, ASTM) for material properties testing, mechanical performance, biocompatibility, and sterilization. For example, the "ground truth" for fatigue resistance is meeting the load cycles and fracture limits defined by ISO 14801. Biocompatibility "ground truth" is meeting the criteria of ISO 10993 series.

    8. The sample size for the training set:

    • Not Applicable. This is a physical device submission; there is no "training set" in the context of an AI model.

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

    • Not Applicable. See point 8.
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