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510(k) Data Aggregation

    K Number
    K191034
    Manufacturer
    Date Cleared
    2019-09-04

    (139 days)

    Product Code
    Regulation Number
    872.3660
    Panel
    Dental
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    Reference Devices :

    K133071

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

    VPS Impression Material is intended for use with all crowns, bridges, occlusal and dental implant impression techniques to reproduce the structure of a patient's teeth and gums.

    Device Description

    VPS Impression Material is dental Impression Material. It complies with the requirements of ISO 4823:2015 for dental elastomeric impression materials. It is supplied as a two-part base/catalyst formulation preloaded in a dual-barrel cartridge. The VPS Impression Material package includes four dual-barrel 50ml cartridges.

    AI/ML Overview

    The provided text is a 510(k) summary for a dental impression material. The document demonstrates substantial equivalence to predicate devices, rather than proving a device meets specific acceptance criteria through a clinical study. Therefore, much of the requested information regarding study details and expert adjudication is not present in this document.

    However, I can extract the acceptance criteria and performance data for the device based on the non-clinical performance tests presented.

    Here's the information derived from the document:

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

    Physical ParametersAcceptance Criteria (Standard ISO4823)Reported Device Performance (K191034)
    Consistency≤35mm31 mm
    Working time≥1'30"2'
    Detail reproduction50μmcomplies (implicitly meets 50μm)
    Linear dimensional change≤1.5%0.16%
    Compatibility with gypsum50μmcomplies (implicitly meets 50μm)
    Elastic recovery≥96.5%99.06%
    Strain-in-compression>0.8% <20%2.73%

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

    The document does not explicitly state the sample sizes used for each physical property test. The data provenance is also not specified in terms of country of origin or whether the tests were retrospective or prospective, beyond indicating and referencing the ISO 4823 standard, which implies laboratory testing.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not applicable as the study involves non-clinical performance testing against a standard (ISO 4823), not clinical evaluation requiring expert consensus for ground truth.

    4. Adjudication method for the test set

    This information is not applicable for non-clinical performance 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

    No such study was conducted or is mentioned in the document. This is a material science characterization for a dental impression product, not an AI-assisted diagnostic or treatment device.

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

    This information is not applicable. The device is a physical impression material, not an algorithm.

    7. The type of ground truth used

    The ground truth or benchmark used for the performance tests is the ISO 4823:2015 standard for dental elastomeric impression materials.

    8. The sample size for the training set

    This is not applicable. There is no "training set" as this is not an AI/algorithm-based device.

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

    This is not applicable for the reasons stated above.

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