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510(k) Data Aggregation

    K Number
    K150076
    Date Cleared
    2015-06-02

    (139 days)

    Product Code
    Regulation Number
    872.4120
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Sonic Surgeon 310L, Sonic Surgeon 600L and Sonic Surgeon 800L are piezoelectric devices for surgery that enable mechanical ultrasound treatment, osteotomy and osteoplasty techniques to be applied in dental use.

    Device Description

    Sonic Surgeon 310L. Sonic Surgeon 600L and Sonic Surgeon 800L are ultrasonic surgical units intended for mechanical ultrasound treatment in prophylaxis, periodontics. The normal mode is tooth scaling applications, and the Boost Mode of Sonic Surgeon 310L. Sonic Surgeon 600L and Sonic Surgeon 800L can be used for surgical procedures, including osteotomy, osteoplasty, periodontal surgery and implantation.

    The tips can easily be changed during the treatment and must also be cleaned and autoclaved.

    AI/ML Overview

    This document is a 510(k) Summary for the Sonic Surgeon 310L, 600L, and 800L devices, seeking to demonstrate substantial equivalence to predicate devices, not an AI/ML device. Therefore, it does not contain the information requested in the prompt, such as acceptance criteria for AI performance, details of a study proving a device meets such criteria, sample sizes for test/training sets in an AI context, expert ground truth establishment, adjudication methods, or MRMC studies.

    The document focuses on the technological characteristics and performance parameters comparing the new devices to existing predicate devices (Sonic Surgeon 300 and UBS ultrasonic bone surgery/UDD ultrasonic debridement device) to assert substantial equivalence.

    Here's an analysis of the available information in relation to the prompt:

    1. Table of acceptance criteria and the reported device performance:
      The document does not present "acceptance criteria" in the sense of predefined thresholds for performance to be met by the device itself beyond functional equivalence to predicates. Instead, it compares specific technological characteristics and performance parameters to predicate devices. These comparisons serve as the basis for claiming substantial equivalence.

      Characteristic/ParameterPredicate Device (Sonic Surgeon 300 - K110881)Predicate Device (UBS/UDD - K080220)Proposed Devices (310L, 600L, 800L)
      Intended UseUltrasonic Surgical Unit for osteotomy & osteoplasty in dental useBone cutting instruments for oral surgeryPiezoelectric devices for mechanical ultrasound treatment, osteotomy, and osteoplasty in dental use
      Sterilization MethodSame as Proposed Devices (implied, not explicitly detailed for predicate)Same as Proposed Devices (implied, not explicitly detailed for predicate)Autoclaved (for tips)
      Materials UsedEnclosure: PC, ABS; Hose/Seals: Silicone; Hand Piece: PES; Tips: TrimRite stainless; Tip Coating: ZrN, ZrN+DiamondNot detailedEnclosure: PC, ABS; Hose/Seals: Silicone; Hand Piece: PPSU; Tips: TrimRite stainless; Tip Coating: ZrN, ZrN+Diamond
      Electrical Input PowerAC 95-115V, AC 210-240VAC 230V±10%AC 100-240V
      Auto Scanning Freq.26 ± 3 kHz26 kHz ± 10%Automatic scanning, 26 ± 3 kHz
      Power Output (Normal Mode)(Not specified for 300)(Not specified for UBS/UDD Normal)310L: 15-17W (L1), 17-21W (L2), 21-27W (L3)

    600L: 15-17W (L1), 17-21W (L2), 21-27W (L3)
    800L: 15-17W (L1), 17-21W (L2), 21-27W (L3) |
    | Power Output (Boost Mode) | (Not specified for 300) | 90 W (overall power mentioned) | 310L: 30-50W
    600L: 50-70W
    800L: 70-90W |
    | Water Flow (approx. ml/min) | Level 1: 10; Level 2: 30; Level 3: 50; Level 4: 70; Level 5: 90 | Not detailed | Level 1: 7-13; Level 2: 15-40; Level 3: 40-60; Level 4: 60-80; Level 5: 80-110 |
    | LED Brightness (lux, at 20mm)| X | Not detailed | 310L: 1900-2600
    600L: 2000-2800
    800L: 2000-2800 (across 3 levels) |
    | Foot Switch IP Class | IPX1 | Not detailed | IPX8 |

    The "acceptance criteria" here are implicitly that the proposed devices must demonstrate similar performance and safety characteristics to the legally marketed predicate devices, supporting the claim of substantial equivalence. For example, the maximum output power of the Sonic Surgeon 800L (70-90W) is compared to the predicate UBS device (90W) to establish equivalence in this aspect.
    

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):
    This document describes a medical device, not an AI/ML product. The "test set" in this context refers to standard engineering and electrical safety tests, and potentially material biocompatibility tests. It does not involve a "test set" of clinical data for algorithmic performance evaluation. No information regarding sample size or data provenance in the context of clinical studies for performance metrics is provided. The tests mentioned are for compliance with IEC standards.

    1. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience):
      Not applicable. Ground truth and expert adjudication are concepts relevant to AI/ML performance evaluation, which is not the subject of this 510(k) submission. The "ground truth" for this device would be established by physical measurements and compliance with engineering and safety standards.

    2. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
      Not applicable. This is not an AI/ML filing.

    3. 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 not an AI/ML filing; no human-in-the-loop performance or reader studies are mentioned.

    4. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
      Not applicable. This is not an AI/ML filing.

    5. The type of ground truth used (expert consensus, pathology, outcomes data, etc):
      Not applicable in the context of AI/ML. The "ground truth" for this device's performance would be derived from physical measurements (e.g., power output, frequency, LED brightness, water flow) and compliance with established engineering and safety standards (IEC 60601-1, IEC 60601-1-2).

    6. The sample size for the training set:
      Not applicable. This is not an AI/ML filing. There is no concept of a "training set" for this type of device.

    7. How the ground truth for the training set was established:
      Not applicable. This is not an AI/ML filing.

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