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510(k) Data Aggregation

    K Number
    K202015
    Manufacturer
    Date Cleared
    2021-03-24

    (246 days)

    Product Code
    Regulation Number
    872.3820
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Permanent root canal obturation

    Device Description

    This product is the root canal sealer conforming to ISO 6876. This is a pre-loaded syringe type that does not require mixing and set by absorbing the moisture around the root canal.

    AI/ML Overview

    The provided document describes a 510(k) premarket notification for a medical device called "White ENDOSEAL MTA," which is a root canal filling material. This submission focuses on non-clinical performance testing and does not involve a study proving the device meets acceptance criteria related to AI/ML or human-in-the-loop performance.

    Therefore, most of the requested information regarding AI/ML-specific study design (such as sample sizes for test and training sets, expert adjudication, MRMC studies, standalone algorithm performance, and ground truth establishment) cannot be found in this document.

    However, I can extract information related to the performance testing (non-clinical) performed for this device based on the provided text.

    Here's the breakdown of the information that can be extracted, and an explanation of why other requested information is not applicable:

    Information available from the document:

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

    The document lists performance testing against ISO 6876 standards, which implicitly defines acceptance criteria. The reported performance for the proposed device (White ENDOSEAL MTA) is compared to the predicate device.

    Performance MetricAcceptance Criteria (Implicit from ISO 6876)Reported Device Performance (White ENDOSEAL MTA)Reported Predicate Device Performance (ENDOSEAL MTA)
    Setting timeConforms to ISO 687629 min12.31 min
    FlowConforms to ISO 687622 mm21 mm
    RadiopacityConforms to ISO 68767.7 mm10.14 mm
    Film thicknessConforms to ISO 687614 µm15 µm
    SolubilityConforms to ISO 68760.3 %0.7 %
    Capacity, pHConforms to internal testing methodsMet preset test criteriaN/A (not explicitly compared in table)
    Package, Extraneous matterConforms to ISO 6876Met preset test criteriaN/A (not explicitly compared in table)
    Cytotoxicity (MTT)Conforms to ISO 10993-5Met preset test criteriaN/A (not explicitly compared in table)
    Skin sensitization (GPMT)Conforms to ISO 10993-10Met preset test criteriaN/A (not explicitly compared in table)
    Acute systemic toxicityConforms to ISO 10993-11Met preset test criteriaN/A (not explicitly compared in table)
    Genotoxicity (Mammalian chromosome aberration test & Bacterial Reverse Mutation)Conforms to ISO 10993-3Met preset test criteriaN/A (not explicitly compared in table)

    Note: The document states "All the test results met the preset test criteria," indicating compliance with the referenced standards (ISO 6876, ISO 10993 series) for the White ENDOSEAL MTA.

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

    • Sample Size: Not specified for the non-clinical tests. Non-clinical bench testing often uses small, controlled samples, but the exact number isn't in this summary.
    • Data Provenance: The testing was conducted by "MARUCHI" (the manufacturer) or by testing institutions following specific ISO standards. The location is the Republic of Korea (manufacturer's address). The data is from non-clinical bench testing, not patient data.

    Information NOT available or NOT applicable to this document:

    3. 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)

    • This document describes non-clinical laboratory testing (e.g., material properties, biocompatibility), not clinical studies involving expert interpretation of medical images or patient outcomes. Therefore, there is no concept of "ground truth" established by medical experts in this context.

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

    • Not applicable. This is for clinical study ground truth establishment, not non-clinical bench testing.

    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 document is about a root canal filling material, not an AI/ML device for image interpretation or diagnosis. No human reader studies were mentioned.

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

    • Not applicable. This is not an AI/ML device.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

    • For the non-clinical tests described, the "ground truth" is defined by the objective measurement parameters and specifications set forth by the international standards (ISO 6876, ISO 10993 series) and internal testing methods. There is no clinical "ground truth" derived from patients or expert consensus.

    8. The sample size for the training set

    • Not applicable. This is not an AI/ML device, so there is no training set.

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

    • Not applicable. As above, there is no AI/ML component or training set.

    Summary:

    This 510(k) submission for "White ENDOSEAL MTA" focuses on demonstrating substantial equivalence to a predicate device through non-clinical (bench and biocompatibility) testing, confirming it meets established international standards for root canal filling materials. It does not involve AI/ML technology, clinical performance studies, or the types of expert-driven data collection and analysis that would require answering questions 3, 4, 5, 6, 8, and 9.

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