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510(k) Data Aggregation

    K Number
    K161957
    Date Cleared
    2016-11-23

    (128 days)

    Product Code
    Regulation Number
    872.4200
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K082523, K011061, K080939

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

    Mechanical drive unit with coolant supply for transmission instruments with ISO 3964 (DIN13940) compatible coupling system, for use in dental surgery, implantology and maxillofacial surgery (CMF) for treatment of dental hard tissue.

    Device Description

    The Implantmed SI-1015 is intended for use in dental surgery, implantology and maxillofacial surgery (CMF) for treatment of dental hard tissue.
    The new Implantmed SI-1015 is a redesigned version of the old one.
    The submission consists of :

    • the control unit,
    • a motor with cable with or without light (EM-19 LC/EM-19),
    • a wireless or wired foot control (S-NW or S-N2),
    • the Osstell Module (SI-SQ)
    • and as an attachment the surgical handpieces
    • (WS-56 L, WS-75 L, WS-91 L, WS-92 L and S-11 L).
      The user can select five different programs. Switching between these programs is performed by foot control or via touch display.
      Programs 1-3 are used for adjusting the speed and programs 4-5 are for adjusting the torque.
      The control unit is intended to be used with the EM-19 or EM-19 L motor.
      The Implantmed SI-1015 will be delivered with software on the control unit.
      To run the Implantmed SI-1015 according to its intended use, W&H provides five different surgical handpieces.
    AI/ML Overview

    This document concerns the 510(k) premarket notification for the "Implantmed SI-1015 incl. Accessories," a dental handpiece and accessories, and not an AI/ML powered device. As such, the concept of "acceptance criteria" and "study that proves the device meets the acceptance criteria" in the context of AI/ML performance metrics (such as accuracy, sensitivity, specificity, and the involvement of ground truth, expert opinions, sample sizes for training/testing, MRMC studies, or standalone algorithm performance) is not applicable here.

    Instead, the document focuses on demonstrating substantial equivalence to a previously legally marketed predicate device (Implantmed SI-915/923, cleared under K052741) based on non-clinical performance testing and functional comparison.

    Here's a breakdown of the provided information, reinterpreted to align with device performance and comparison for a traditional medical device:

    1. Table of Acceptance Criteria and Reported Device Performance (Reinterpreted as comparison to predicate and safety standards)

    Feature/TestAcceptance Criteria (Demonstrated Equivalence/Compliance)Reported Device Performance (Implantmed SI-1015)
    Intended UseIdentical to predicate device.Mechanical drive unit with coolant supply for transmission instruments with ISO 3964 (DIN 13940) compatible coupling system, for use in dental surgery, implantology and maxillofacial surgery (CMF) for treatment of dental hard tissue. (Identical to predicate).
    Technological CharacteristicsMain technological characteristics same or similar to predicate.Control Unit: Main dimensions: 100x262x291mm (Predicate: 90x252x254mm). Front panel: TFT display with capacitive touch (Predicate: Graphical display without backlighting). Programs: 5 (same as predicate). Irrigation: 100ml/min (same as predicate). Irrigation Tubing can be inserted ergonomically on the unit's side face (Predicate: inserted on front face).
    Foot Control: Features: 4 buttons for pump on/off, Forward/reverse, Change programs, Motor control (on/off and variable) (all same as predicate). Power supply: wireless via 3xAA batteries (Predicate: wired via cable).
    Motor with cable: Length: 71.65 mm, With LED contacts (Predicate: 75 mm, Without LED contacts).
    W&H SI-SQ (Osstell Module): Connection via USB-cable (Predicate (Osstell ISQ): Stand-alone device).
    Differences noted for Foot Control, Motor, and SI-SQ, but deemed not to raise additional questions regarding substantial equivalence.
    Material CompositionIdentical to predicate device.Control unit housing: plastic material (Same as predicate).
    Tubing outer sheath: Customer specific (Same as predicate).
    Motor with cable: Stainless steel (Same as predicate).
    Surgical handpieces: Chromium coated steel and chromium coated brass (Same as predicate).
    SI-SQ: Stainless steel (Same as predicate).
    Hygiene/MaintenanceIdentical to predicate device.Lubrication: After max. 30 minutes of use (EM-19 LC/EM-19: No lubrication needed) (Same as predicate).
    Cleaning: Rinse under demineralized water (
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    K Number
    K123695
    Device Name
    TRAUS SIP10
    Date Cleared
    2012-12-18

    (15 days)

    Product Code
    Regulation Number
    872.4200
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K052741, K011061

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

    The TRAUS SIP10 is intended for use in dental surgery, implantology, maxilla-facial surgery and endodontics for treatment of dental hard tissue and mechanical rotating root canal preparation.

    Device Description

    The TRAUS SIP10 is an AC-powered device that includes a hand-held motor, controller, contra angle handpiece and foot controller for regulation of speed and direction of rotation or a contra-angle attachment for dental implant surgery.

    AI/ML Overview

    The provided text is a 510(k) summary for the Saeshin TRAUS SIP10 dental handpiece. It focuses on establishing substantial equivalence to a predicate device and does not contain information about acceptance criteria, device performance studies, sample sizes, expert involvement, or adjudication methods for an AI-powered device. Therefore, I cannot generate the requested table and information based on this document.

    The document discusses:

    • Company and Device Information: Saeshin Precision Co., Ltd., and the TRAUS SIP10 dental handpiece.
    • Predicate Device: ImplantMED SI-915/923, K052741, and Surgical Contra-Angle Handpiece WS-75E/KM, K011061.
    • Device Description and Indication for Use: The TRAUS SIP10 is an AC-powered dental handpiece for surgery, implantology, maxilla-facial surgery, and endodontics.
    • Bench Testing and Standards Conformance: Biocompatibility testing (ISO 10993-1) and conformance to electrical safety and electromagnetic compatibility standards (IEC 60601-1, IEC 60601-1-2) are mentioned to demonstrate safety and effectiveness.
    • Substantial Equivalence: The document concludes that the TRAUS SIP10 is substantially equivalent to the predicate device based on similar intended use, material, design, and use concept.

    There is no mention of AI, machine learning, or software-based performance evaluation studies that would typically involve acceptance criteria, test sets, ground truth, or expert review as described in your request.

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