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510(k) Data Aggregation

    K Number
    K131396
    Date Cleared
    2013-09-30

    (138 days)

    Product Code
    Regulation Number
    872.6890
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Provides a soft barrier between wired mouth hardware and oral mucosa to help relieve discomfort for convalescing oral and maxillofacial surgery patients.

    Device Description

    The Wired Mouth Protector consists of a non-sterile strip of non-latex foam with a slit in the middle that is inserted into the front of the mouth between the teeth and lip area with the slit in the center to provide a soft barrier to help protect the oral mucosa from contact with wired mouth hardware. It is changed three times daily or more often if needed.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device called the "Wired Mouth Protector." The document indicates that the device has undergone biocompatibility testing. However, it does not include information about acceptance criteria or a study that specifically proves the device meets those criteria in the context of clinical performance (e.g., efficacy in relieving discomfort in patients).

    Therefore, based on the provided text, I cannot complete all sections of your request. Here's a breakdown of what can and cannot be extracted:

    Acceptance Criteria and Device Performance:

    The document focuses on biocompatibility and substantial equivalence to a predicate device, rather than detailed clinical performance metrics with acceptance criteria.

    Acceptance CriteriaReported Device Performance
    Biocompatibility:
    - Non-cytotoxic- Non-cytotoxic in agar diffusion test (L929 mammalian cells)
    - Non-cytotoxic in MEM elution test (L929 mammalian cells)
    - Non-irritating (dermal)- Primary skin irritation index = 0.0 (rabbits)
    - Non-irritating (ocular)- Non-ocular irritant (rabbit eyes)
    - Non-toxic (acute oral)- Extracts not considered toxic at 40 mL/kg body weight; LD50 > 40 mL/kg b.w. (mice)
    Functional Equivalence to Predicate Device:"The Wired Mouth Protector performs at least as well as the predicate device" in terms of protective function.

    Information that cannot be extracted from the provided text:

    • Sample size used for the test set and the data provenance: The biocompatibility tests were conducted on animal models (rabbits, mice) and cell lines. No human clinical "test set" for performance evaluation is mentioned.
    • Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable, as there's no clinical test set with ground truth established by experts mentioned.
    • Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
    • If a multi-reader multi-case (MRMC) comparative effectiveness study was done: No, this type of study is not mentioned.
    • If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable, as this is a physical medical device, not an AI algorithm.
    • The type of ground truth used: For biocompatibility, the chemical and biological responses in standardized tests serve as the "ground truth." For clinical efficacy (e.g., discomfort relief), no such study with defined ground truth is presented.
    • The sample size for the training set: Not applicable. This device does not have a "training set" in the context of machine learning.
    • How the ground truth for the training set was established: Not applicable.
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