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510(k) Data Aggregation

    K Number
    K151945
    Manufacturer
    Date Cleared
    2016-02-18

    (219 days)

    Product Code
    Regulation Number
    872.6300
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K010935

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

    Triumph Resin Dam is a resin-based, light-cured protective barrier material recommended to protect dental materials or tissues. For Use only by a Licensed Dentist. Rx Use Only.

    Device Description

    Triumph Resin Dam is a light-cured, resin dam material recommended to block out or protect dental materials or tissues. Triumph contains polymerizable monomers that when light-cured form a protective barrier. When set the resin has a low strength allowing its removal from the protected surfaces.

    AI/ML Overview

    This document is a 510(k) summary for a medical device called "Triumph Resin Dam," which is a resin-based, light-cured protective barrier material for dental use. The summary focuses on demonstrating substantial equivalence to a predicate device ("OpalDam") rather than presenting a study proving performance against acceptance criteria in the typical sense of a clinical trial for diagnostic AI.

    However, I can extract the relevant information from the document to construct an answer aligned with your request, interpreting "acceptance criteria" as the criteria for demonstrating substantial equivalence and "study" as the comparison tests performed.

    Here's a breakdown of the requested information based on the provided text:

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

    For this type of device (a Class I dental resin dam), the "acceptance criteria" are essentially the characteristics and performance deemed equivalent to a legally marketed predicate device. The document primarily focuses on demonstrating substantial equivalence to the Opal Dam (K971284) and referencing BriteSmile (K010935) for hardness comparison.

    Property / Acceptance Criteria (as per predicate equivalence)Reported Device Performance (Triumph Resin Dam)
    Intended UseResin barrier used to isolate and protect dental materials and tissues. (Matches Opal Dam)
    CompositionUrethane acrylates, silica, titanium dioxide, light curing chemistry. (Different from Opal Dam's Di-urethane di-methacrylate, filler. However, the document states "Formula differences...exist, however Triumph Resin Dam was found to be biocompatible...and has similar technological and performance characteristics.")
    Light Cure CapabilityYes (Matches Opal Dam)
    Light Cure Setting TimeYes,
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