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510(k) Data Aggregation

    K Number
    K231395
    Date Cleared
    2023-10-18

    (156 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    INNO SLA Submerged Narrow Implant System is intended for two-stage surgical procedures in the following situations and with the following clinical protocols:

    • The intended use for the 3.3mm, 3.5mm diameter INNO Sub Narrow Implant is limited to the replacement of maxillary lateral incisors and mandibular incisors.

    • Immediate placement in extraction situations with a partially or completely healed alveolar ridge.

    • It is intended for delayed loading.

    Device Description

    The INNO SLA Submerged Implant System offers the following components.

    1 INNO SLA Submerged Narrow Fixture (Narrow) Ø 3.3 x 8.00, 10.00, 12.00, 14.00 mm Ø 3.5 x 8.00, 10.00, 12.00, 14.00 mm
    2 Cover Screw (Narrow) Ø 2.84 x 5.0 mm Ø 3.23 x 6.0 mm Ø 3.62 x 7.0 mm
    3 Healing Abutment (Narrow) Type 1 Ø3.5 x 6.7, 7.2, 9.2, 10.2, 11.2 mm
    4 Healing Abutment (Narrow) Type 2 Ø 4.5 x 7, 9, 10, 11, 12, 14 mm
    5 Cemented Abutment (Narrow) Ø 4.5 x 7.85, 8.85, 9.85, 10.85, 11.85, 12.85, 13.85, 14.85mm Ø 4.5 x 9.35, 10.35, 11.35, 12.35, 13.35 mm Ø 4.5 x 7.65, 8.65, 9.65, 10.65, 11.65, 13.65, 14.65 mm Ø 4.5 x 9.15, 10.15, 11.15, 12.15, 13.15 mm
    6 Angulated Abutment (Narrow) Ø 4.5 x 11.85, 12.85, 13.85, 14.85 mm (15°, 25°)
    7 Multi S Abutment Ø 4.5 x 5, 5.8, 6mm
    8 Multi A Abutment Ø 4.5 x 6.42, 7.42, 8.42, 6.96, 7.96mm (15°,30°) – Hex type Ø 4.5 x 6.23, 7.22, 8.22, 6.76, 7.76mm (15,30°) – Non Hex type
    9 Multi Hybrid Ti-Base Cylinder Ø 4.5 x 4.5mm
    10 Abutment Screw (Narrow) Ø 2.25 x 10.2 mm Ø 1.95 x 8.7 mm
    Ø 1.95 x 9.3 mm
    12 Multi Cylinder Screw Ø 2.25 x 5 mm
    13 Straight Abutment Ø 3.5 x 13.5, 14, 15, 16, 17 mm
    14 Temporary Abutment Ø 4.5 x 10 mm
    15 Multi Titanium Cylinder Ø 4.5 x 9 mm

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device (INNO SLA Submerged Narrow Implant System). This type of document focuses on demonstrating substantial equivalence to legally marketed predicate devices, not on proving clinical effectiveness or meeting specific performance acceptance criteria through a dedicated study.

    Therefore, the document does not contain any information regarding:

    • Acceptance criteria in the traditional sense of a clinical or performance study with numerical targets for metrics like sensitivity, specificity, accuracy, etc.
    • The study that proves the device meets acceptance criteria (as no such study with performance metrics is presented).
    • Sample size used for the test set or data provenance.
    • Number of experts used to establish ground truth or their qualifications.
    • Adjudication method.
    • Multi-reader multi-case (MRMC) comparative effectiveness study.
    • Standalone (algorithm only) performance.
    • Ground truth type for a performance study.
    • Sample size for the training set.
    • How the ground truth for the training set was established.

    Instead, the document focuses on demonstrating substantial equivalence through:

    1. Performance Data (Non-Clinical):

    The performance testing listed focuses on engineering and material characteristics, leveraging previous clearances and established standards.

    • Gamma radiation sterilization and shelf-life: Leveraged from Cowellmedi Co., Ltd.'s previous clearance K132242.
    • Steam sterilization of abutments: Leveraged from Cowellmedi Co., Ltd.'s previous clearance K201323.
    • Five-year shelf life and packaging: Leveraged from Cowellmedi Co., Ltd's previous clearance K132242.
    • SLA surface treatment: Leveraged from Cowellmedi Co., Ltd.'s previous clearance K132242.
    • Fatigue test in accordance with ISO 14801: This is an engineering test to ensure the mechanical integrity of the implant system. The document states: "We have performed the fatigue test to make sure the differences do not raise and the test result of the test supported substantial equivalence." However, no specific numerical acceptance criteria or results are provided in the summary.
    • Biocompatibility endpoints: Leveraged from Cowellmedi Co., Ltd.'s previous clearance K132242.
    • Non-clinical worst-case MRI review: Performed using scientific rationale and published literature to evaluate displacement force and torque.

    2. Substantial Equivalence Discussion and Comparison Chart:

    This section directly compares the subject device (INNO SLA Submerged Narrow Implant System) with various predicate and reference devices, highlighting similarities in:

    • Intended Use
    • Material (Titanium Grade 4 or Ti-6Al-4V ELI)
    • Principle of Operation
    • Design
    • Surface Treatment (SLA, TiN Coating)
    • Sterility (Gamma Sterilization, Non-sterile with terminal sterilization via moist heat/autoclave, End User Sterilization)
    • Shelf Life (5 years)

    The document asserts that slight differences, such as in abutment size options or diameter ranges, do not affect substantial equivalence or raise concerns about safety or performance.

    In summary, for a traditional clinical or AI/ML performance study as requested, all fields would be "Not Applicable" or "Not Provided" based on the content of this 510(k) summary. The "acceptance criteria" here are implicitly that the device performs equivalently to the listed predicates based on the non-clinical tests and functional comparisons detailed.

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    K Number
    K221969
    Manufacturer
    Date Cleared
    2023-05-12

    (311 days)

    Product Code
    Regulation Number
    872.3630
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K081748, K160828

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

    The Warantec dental abutment is intended to be used with the root-form endosseous dental implant to aid in prosthetic rehabilitation.

    Device Description

    The IU Implant System Abutment is a dental implant superstructure made of titanium alloy. It is an abutment used to support or maintain the restoration after the implantation of the fixture in the oral cavity. The abutments are provided non-sterile and should be sterilized before use.

    AI/ML Overview

    This document is a 510(k) summary for the IU Implant System Abutment, a dental implant superstructure. It describes the device, its intended use, and a comparison to predicate devices to demonstrate substantial equivalence. However, it does not contain the specific acceptance criteria or a study proving the device meets those criteria in the context of device performance metrics such as sensitivity, specificity, accuracy, or effect size for AI assistance. The document focuses on showing the device's substantial equivalence to existing predicate devices based on design, materials, and non-clinical testing.

    Therefore, many of the requested details cannot be extracted from the provided text.

    Here is a breakdown of what can and cannot be provided based on the input:

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

    • Acceptance Criteria: Not explicitly stated in terms of performance metrics (e.g., sensitivity, specificity, accuracy). The acceptance criteria are implicitly related to demonstrating substantial equivalence to predicate devices through comparisons of material, design, intended use, and non-clinical testing results (fatigue, biocompatibility, sterilization, MRI safety).
    • Reported Device Performance: Performance is reported in terms of meeting specific standards and showing substantial equivalence in non-clinical tests, rather than clinical performance metrics.
    Acceptance Criteria (Implied from Non-Clinical Testing)Reported Device Performance
    Sterility Assurance Level (SAL) of 10^-6Validated according to ISO 17665-1 and ISO 17665-2
    Biocompatibility of Ti-6A1-4V ELI (ASTM F136)Demonstrated by referenced Warantec submission K172345 (same materials/manufacturing)
    Fatigue Resistance (worst case)Conducted according to ISO 14801:2016 and FDA Special Controls Guidance Document
    Magnetic Resonance (MR) Environment SafetyNon-clinical worst-case MRI review performed using scientific rationale and published literature, addressing displacement force and torque.
    Substantial Equivalence to Predicate DevicesDemonstrated through comparison of intended use, design, material, surface treatment, connection, and dimensions. Minor differences (surface treatment, angulation, dimensional range) do not affect fundamental function.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective):

    • Not applicable for performance metrics. The "tests" mentioned are non-clinical (sterilization, biocompatibility, fatigue, MRI review). These typically involve a specific number of samples for mechanical or material testing, but not a "test set" from patients or images.
    • Data Provenance: The submission is from Warantec Co., Ltd. in the Republic of Korea. The testing itself (e.g., ISO standards) does not specify "data provenance" in the way clinical studies would.

    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):

    • Not applicable. This information is relevant for clinical studies or studies using expert readers for image interpretation, which were not conducted for this submission ("No clinical data were included in this submission.").

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

    • Not applicable. This relates to clinical or expert-read studies, which were not performed.

    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:

    • No, an MRMC comparative effectiveness study was not done. This is a dental implant abutment, not an AI-powered diagnostic device. The submission explicitly states, "No clinical data were included in this submission."

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

    • Not applicable. This is not an AI algorithm; it's a physical medical device.

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

    • For the non-clinical tests:
      • Sterilization: Ground truth is defined by the objective measurement of sterility (SAL) and adherence to ISO standards.
      • Biocompatibility: Ground truth is established by chemical composition and biological response testing, adhering to material standards (ASTM F136) and prior submissions.
      • Fatigue: Ground truth is based on physical endurance under simulated physiological loads according to ISO standards.
      • MRI Safety: Ground truth is based on existing scientific literature and physics principles related to magnetic forces and materials.

    8. The sample size for the training set:

    • Not applicable. This is not an AI device that requires a training set.

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

    • Not applicable. No training set was used.
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    K Number
    K200817
    Manufacturer
    Date Cleared
    2020-10-07

    (191 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    URIS OMNI Narrow System is indicated for use in the treatment of missing maxillary lateral incisors or the mandbular central and lateral incisors, in support of single or multiple-unit restorations including: cemented retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

    The URIS OMNI Prosthetic abutments are intended for use with URIS OMNI dental implants to provide support for prosthetic restorations such as crowns, bridges, or over-dentures.

    All digitally designed abutments and/or coping for use with URIS OMNI Prosthetic abutments are intended to be sent to a TruAbutment-validated milling center for manufacture.

    Device Description

    URIS OMNI Narrow System fixtures are dental implants made of Unalloyed Titanium, grade 4 (ASTM F67) intended for use in the treatment of missing maxillary lateral incisors or the mandibular central and lateral incisors. The surface is SLA (Sandblasted, Large grit and Acid etched) treated and is provided sterile. It consists of two implant lines, the OMNI Straight and the OMNI Tapered, with corresponding cover screws, healing abutments and prosthetic abutments. The OMNI Tapered implant has a tapered wall with a single thread design. The OMNI Straight implant has straight wall with smaller threading at the coronal end, and bigger threading at the apical end. Both implant lines have Narrow (Ø 3.15 mm) platform sizes. Both implant lines share the following diameters and lengths.

    Ø 3.15 x 10, 11.5, 13, 14.5mm (L)

    URIS Prosthetic System is made of titanium alloy (Ti-6Al-4V ELI) intended for use as an aid in prosthetic restoration. It consists of Ball Abutment, Retainer, T LOC Straight Abutment, T Loc Titanium Cap, Multi-Unit Straight Abutment, Multi-Unit Angled Abutment, Multi-Unit Healing Cap, Multi-Unit Ti Cylinder, Multi-unit temporary cylinder, Multi-Unit Cylinder screw, URIS DS, URIS Base. No additional angulation is to be included in the when using a coping or cylinder (i.e., Multi-unit Ti Cylinder, Multi-unit Temporary Cylinder, Multi-unit Base) with any of the Multi-unit Abutments.

    URIS Base consists of a two-piece abutment, where the titanium base is a pre-manufactured abutment that will be used to support a CAD/CAM designed superstructure (the second part of the two-piece abutment) that composes the final abutment. URIS Base is made of titanium alloy conforming to ASTM F136 Standard Specification for Wrought Titanium-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant Applications.

    URIS DS abutment as a patient matched titanium abutment compatible with both URIS OMNI System (K172100) and URIS OMNI Narrow System (subject).

    AI/ML Overview

    The provided document is a 510(k) Summary for a dental implant system. It discusses the substantial equivalence of the "URIS OMNI Narrow System & Prosthetic" to predicate devices based on non-clinical testing. The document does not contain information about acceptance criteria or a study proving the device meets acceptance criteria in the context of human reader performance or a standalone algorithm performance for AI/ML-driven devices.

    The document states: "No clinical data were included in this submission." and focuses on demonstrating substantial equivalence through comparisons of technological characteristics and non-clinical test data.

    Therefore, I cannot provide the requested information for an AI/ML device related to acceptance criteria, detailed study design, sample sizes, expert ground truth, adjudication methods, or MRMC comparative effectiveness studies, as these types of studies are not discussed in this 510(k) summary for this device.

    The "acceptance criteria" presented in this document are primarily related to the successful completion and results of non-clinical tests to demonstrate equivalence to predicate devices. These are not performance metrics for an AI/ML algorithm.

    Here's an analysis of what is provided regarding acceptance criteria in the context of this traditional medical device:

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

    The document implicitly defines acceptance criteria by listing the standards to which tests were performed and stating that "the results have met the criteria of the standards." The "reported device performance" is that it successfully met these standards, thereby demonstrating substantial equivalence.

    Acceptance Criteria (Standards Met)Reported Device Performance
    USP and USP for Bacterial EndotoxinMet the criteria of the standards
    ISO 10993-1 for BiocompatibilityMet the criteria of the standards
    ISO 11137-1,-2,-3 and ISO 11737-1,-2 for SterilizationMet the criteria of the standards
    ISO 17665-1,-2 for End user sterilizationMet the criteria of the standards
    ISO 11607-1,-2 / ASTM F1980-07, ASTM F88, ASTM F1140, ASTM F1929, ASTM F2096 and sterility testing for Shelf LifeMet the criteria of the standards
    ISO 14801:2016 and FDA Guidance for Fatigue TestingMet the criteria of the standards ("worst-case scenario")
    SEM and EDS analysisPerformed (implied acceptable by equivalence conclusion)

    2. Sample size used for the test set and the data provenance:
    Not applicable for this type of non-clinical, non-AI device study. The document refers to testing on the device itself (e.g., fatigue testing, sterilization testing, biocompatibility).

    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):
    Not applicable. Ground truth as typically understood for AI/ML performance is not relevant here. The "ground truth" for these tests would be the accepted parameters and methods defined by the referenced ISO/ASTM standards and FDA guidance.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
    Not applicable. This is not a human reader or AI performance study.

    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:
    No. This is not an AI/ML device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
    No. This is not an AI/ML device.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc):
    Not applicable in the context of AI/ML device performance. For the described non-clinical tests, the "ground truth" is defined by the specific parameters and requirements of the referenced ISO/ASTM standards. For example, for biocompatibility, the ground truth is whether the materials meet the criteria specified in ISO 10993-1.

    8. The sample size for the training set:
    Not applicable. This is not an AI/ML device.

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

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    K Number
    K172100
    Device Name
    URIS OMNI System
    Manufacturer
    Date Cleared
    2018-05-04

    (297 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Why did this record match?
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    URIS OMNI System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

    Device Description

    URIS OMNI System fixtures are dental implants made of Unalloyed Titanium, grade 4 (ASTM F67) intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations. The surface is SLA (Sandblasted, Large grit and Acid etched) treated and is provided sterile. It consists of two implant lines, the OMNI and the OMNI Tapered, with corresponding cover screws, healing abutments and prosthetic abutments. The OMN Tapered implant has a tapered wall with a single thread design. The OMN is straight walled with smaller threading at the coronal end, and bigger threading at the apical end. Both implant lines have two platform sizes, Narrow (Ø 3.5 mm) and Regular (Ø 4.0 - Ø 6.5 mm). Both implant lines share the following diameters and lengths:

    Ø 3.5 x 8.5, 10, 11.5, 13, 14.5mm (L) Ø 4.0 x 7. 8.5. 10. 11.5. 13. 14.5mm (L) Ø 4.5 x 7, 8.5, 10, 11.5, 13, 14.5mm (L) Ø 5.0 x 7, 8.5, 10, 11.5, 13, 14.5mm (L) Ø 5.5 x 7. 8.5. 10. 11.5. 13. 14.5mm (L) Ø 6.0 x 7, 8.5, 10mm (L) Ø 6.5 x 7, 8.5, 10mm (L).

    URIS Prosthetic System is made of titanium alloy (Ti-6Al-4V ELI) intended for use as an aid in prosthetic restoration. It consists of Cover screw, Healing abutment-direct type, D-basis abutmentcemented type, Angled abutment, Milling abutment, Temporary abutment screw. The surface of cover screw and healing abutment are anodized in yellow and green.

    AI/ML Overview

    The provided text is a 510(k) Summary for the URIS OMNI System, a dental implant device. It primarily focuses on demonstrating substantial equivalence to predicate devices based on technological characteristics and non-clinical test data for mechanical properties and biocompatibility.

    Crucially, this document explicitly states: "No clinical data were included in this submission."

    Therefore, the information required to answer your request regarding acceptance criteria and a study proving the device meets those criteria, specifically concerning human performance with or without AI, multi-reader multi-case studies, standalone algorithm performance, or ground truth derived from expert consensus, pathology, or outcomes data, cannot be found in this document.

    The acceptance criteria mentioned in this 510(k) summary are for non-clinical tests to demonstrate the device's physical and biological properties.

    Here's the relevant information that can be extracted, interpreting "acceptance criteria" in the context of this regulatory submission:


    Acceptance Criteria and Device Performance (Non-Clinical)

    The "acceptance criteria" for this submission are not expressed as performance metrics for an AI/CADe device, but rather as meeting established standards for dental implants and abutments. The "reported device performance" is a statement that the device met these criteria.

    Acceptance Criteria (Stated Purpose)Reported Device Performance (Conclusion)
    Biocompatibility: In accordance with ISO 10993 series (e.g., ISO 10993-5:2009 for cytotoxicity, -10:2010 for irritation/sensitization, -11:2006 for systemic toxicity, -3:2014 for genotoxicity, -6:2007 for implantation)."Biocompatibility testing has been completed." and "The results of the non-clinical testing demonstrate that the results have met the criteria of the standards, and the subject device is substantially equivalent to the predicate device." (This implies all specified biocompatibility tests were performed and passed.)
    Sterilization: In accordance with ISO 11137-1,-2,-3 and ISO 11737-1,-2 (for manufacturer sterilization) and ISO 17665-1,-2 (for end-user sterilization)."Sterilization Testing according to ISO 11137-1,-2,-3 and ISO 11737-1,-2" and "End user sterilization Testing according to ISO 17665-1,-2" were performed. The conclusion states: "The results of the non-clinical testing demonstrate that the results have met the criteria of the standards..." (Indicating successful sterilization validation).
    Shelf Life: In accordance with ISO 11607-1,-2 / ASTM F1980-07, ASTM F88, ASTM F1140, ASTM F1929, ASTM F2096, and sterility testing."Shelf Life Testing according to ISO 11607-1,-2 / ASTM F1980-07, ASTM F88, ASTM F1140, ASTM F1929, ASTM F2096 and sterility testing" were performed. The conclusion states: "The results of the non-clinical testing demonstrate that the results have met the criteria of the standards..." (Indicating successful shelf life validation, supporting the claimed 5-year shelf life for fixtures).
    Fatigue Testing: In accordance with ISO 14801:2016 and FDA guidance "Guidance for industry and FDA staff Class II Special Controls Guidance Document Root-form Endosseous Dental Implants and Endosseous Dental Abutment" under worst-case scenario."Fatigue testing was conducted according to... ISO 14801:2016 Dentistry - Fatigue test for endosseous dental implants under the worst-case scenario." The conclusion states: "The results of the non-clinical testing demonstrate that the results have met the criteria of the standards..." (Indicating the device passed the specified fatigue tests for mechanical durability).
    Product Characterization (SEM, EDS): Imaging and elemental analysis to characterize the material and surface."SEM (Scanning electron microscopy) images and EDS (Energy Dispersive X-ray Spectroscopy) analysis" were performed. While not explicitly stated as "passed," these are typically done for characterization to support the material and surface claims, which are deemed "substantially equivalent" to predicates. The overall conclusion supports this: "The results of the non-clinical testing demonstrate that the results have met the criteria of the standards, and the subject device is substantially equivalent to the predicate device."

    Since "No clinical data were included in this submission," the following requested information cannot be provided from this document:

    1. Sample sizes used for the test set and the data provenance: Not applicable, as no clinical test data is provided.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
    4. 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.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable to device performance in a clinical context.
    7. The sample size for the training set: Not applicable (refers to AI/machine learning data, not present here).
    8. How the ground truth for the training set was established: Not applicable.
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