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510(k) Data Aggregation
(247 days)
The Conometric Abutments are intended to be used in conjunction with the Conometric Final Cap and Ankylos C/X implants, OsseoSpeed EV implants and Xive S implants to support fixed friction retained single or maxilla, in a partially or completely edentulous patient. This system is intended for delayed loading. The Conometric Abutment including the abutment screw and the Conometric Final abutment. The abutment. The abutment screw is intended to secure the abutment to the endosseous implant.
The proposed Conometric Abutments are intended for use by dental clinicians in the support of prosthetic dental restorations. The conometric concept provides conical friction retention for fixed single tooth restorations. The Conometric Abutments are provided together with prosthetic conometric caps, impression laboratory devices, and insertion and fixation instruments. The abutments are provided with an angulation of 0° and 15° at gingival heights of 1.5, 3.0 and 4.5 mm for Ankylos® Conometric Abutments and with 1.0, 2.0 and 3.0 mm for Xive® and Astra Tech Implant System EV® Conometric Abutments. They are manufactured of Titanium Alloy. The Conometric Final Caps are to be cemented into the final crown to provide friction retention to the abutment. They are made of gold-shaded titanium and are available in the diameter of 3.3 and 4.5 mm. The Conometric Temporization Caps provide support of immediate and short term provisional prosthetic restorations on Conometric Abutments up to 6 months. The temporary caps are provided with the diameter 3.3 mm and 4.5 mm and are manufactured of PEEK material. The smaller cap (Ø 3.3 mm) also contains titanium alloy. The Conometric Healing Caps protect the Conometric Abutment until a crown is placed and serve for the shaping of the gingiva. The Healing Caps are made of PEEK polymer and available with an diameter of 3.3 mm and 4.5 mm. Regarding the outer geometries, the Healing Caps are presented as a wide variant with an maximum outer diameter of 6.0 mm and - for the Healing Cap Ø 3.3 mm - also as a small version with an maximum outer diameter of 4.8 mm.
This document is a 510(k) premarket notification for Dentsply Sirona's Conometric Abutments. It focuses on demonstrating substantial equivalence to predicate devices, primarily through non-clinical performance data.
Here's a breakdown of the requested information based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance
Acceptance Criteria | Reported Device Performance | Study Type |
---|---|---|
Fatigue Testing: Conformity to ISO 14801: Dynamic Fatigue Test for Endosseous Dental Implants for worst-case construct. | The defined acceptance criteria were fulfilled. | Dynamic Fatigue Testing |
Friction-based Retention: The friction-based retention must perform as intended under dynamic load. | The defined acceptance criteria were fulfilled. | Dynamic Load Testing for Friction Retention |
Pull-out Test: Removal torque of implants after several removal procedures of the Final Cap from the Conometric Abutment should be comparable to or perform better than insertion torque of Final Cap, removal torques of standard prosthetic restorations, and pull-out forces of osseointegrated implants. | The results showed that the proposed Conometric Abutment system perform as intended. | Pull-out Test |
Biocompatibility: Conformity to ISO 10993-5 (in vitro cytotoxicity) and ISO 10993-18 (chemical characterization of materials) for materials. | Biocompatibility data are referenced to support substantial equivalence to predicate device materials. (Conometric Final Cap, Conometric Temporization Cap, Conometric Healing Caps demonstrated biocompatibility by testing if material was not identical.) | Biocompatibility Testing (referenced for identical materials, explicit testing for non-identical materials) |
Sterilization: Sterility Assurance Level (SAL) of 10^-6 according to ISO 11137-1 and ISO 11137-2 for sterile devices. | Achieved an SAL of 10^-6 under the sterilization process parameters utilized (by equivalence to existing worst-case challenge validations). | Sterilization Validation (referenced by equivalence) |
Moist Heat Sterilization (Non-sterile components): Sterility Assurance Level (SAL) of 10^-6 according to ISO 17665-1 and ISO 17665-2. | Demonstrated an SAL of 10^-6 (by equivalence to existing worst-case challenge validations). | Moist Heat Sterilization Validation (referenced by equivalence) |
Packaging and Materials: Must be equivalent to predicate devices to support shelf-life. | Packaging and materials are the same as used for the predicate devices. Shelf life data are referenced to support substantial equivalence. | Materials and Packaging Equivalence / Shelf-life Data (referenced) |
Compatibility with Implants: Performance with predicate and reference device implants in worst-case configuration. | Performance testing is included to support the compatibility of the subject Conometric Abutments, in their worst-case configuration, with the predicate and reference device implants. | Compatibility Testing |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
The document does not specify the exact sample sizes for the test sets in the non-clinical performance studies (Fatigue Testing, Pull-out Test, Dynamic Load Testing for Friction Retention). It generally refers to "worst-case construct" and "implants," implying specific setups for testing but not the number of units tested.
The data provenance is internal testing performed by Dentsply Sirona or its subsidiaries, as implied by the submission document. The country of origin of the data is not explicitly stated. The studies are prospective bench tests, not studies involving patients or real-world data.
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 information is not applicable as the studies are entirely non-clinical bench tests. There is no human interpretation of medical images or expert consensus required to establish ground truth for mechanical, material, or sterilization performance. The ground truth is defined by the objective measurement of physical properties against established engineering and biological standards.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
This information is not applicable as the studies are entirely non-clinical bench tests. Adjudication methods are typically used in clinical studies or studies involving expert interpretation where there might be disagreement in assessing outcomes.
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 MRMC study was done. This device is a dental implant abutment, a physical medical device, not an AI-assisted diagnostic or therapeutic tool.
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 medical device; there is no algorithm or AI component.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
The ground truth for the non-clinical studies is based on established engineering standards (e.g., ISO 14801, ISO 10993, ISO 11137, ISO 17665) and objective measurements of physical and mechanical properties. For example:
- Fatigue Testing: Ground truth is defined by the device's ability to withstand dynamic loads without failure, as per ISO 14801.
- Pull-out and Friction Retention Tests: Ground truth is defined by the measured forces/torques being within an acceptable performance range considered safe and effective for dental abutments.
- Biocompatibility: Ground truth is defined by the material's conformity to biological safety standards (e.g., cell viability in cytotoxicity tests).
- Sterilization: Ground truth is defined by achieving a specific Sterility Assurance Level (SAL) per ISO standards.
8. The sample size for the training set
This information is not applicable. The device is a physical medical device, not an AI or machine learning model that requires a training set.
9. How the ground truth for the training set was established
This information is not applicable for the same reason as above.
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(76 days)
The ATLANTIS® Conus Structure is indicated for attachment to ATLANTIS® Conus abutment, Overdenture (OD) via prefabricated SynCone 5° Taper caps (Degulor®) in the treatment of partially or totally edentulous jaws for the purpose of restoring chewing function.
The ATLANTIS® Conus Structure is intended for conical attachment to a minimum of four (4) ATLANTIS® Conus abutments, Overdenture (OD). The ATLANTIS® Conus Structure is only intended for acrylic or composite veneering.
The proposed ATLANTIS® Conus structure is a patient-specific endosseous dental implant support structure that is indicated for attachment to dental abutments in the treatment of partially or totally edentulous jaws for the purpose of restoring chewing function.
The design of the proposed device is derived from patient dental models and completed by Dentsply Sirona technicians using computer-assisted design (CAD) according to the clinician's prescription. The final CAD design of the ATLANTIS® Conus Structure is fabricated using additive manufacturing to produce a customized, patient-specific device.
The proposed ATLANTIS® Conus Structure is available in the following design types:
- ATLANTIS® Conus Bridge Intended for direct veneering using dental resin composites resulting in a removable friction-retained prosthesis. The bridge provides a full anatomical base for composite layering techniques.
- ATLANTIS® Conus Hybrid Intended as a removable friction-retained denture framework. The hybrid variant provides a surface with retention elements that can be finished with resin-based denture prosthesis.
- ATLANTIS® Conus Base Intended as a removable friction-retained denture framework for finishing with the resin-based denture prosthesis.
The provided text describes the ATLANTIS® Conus Structure, a dental device, and its substantial equivalence to predicate devices, rather than a study proving the device meets specific acceptance criteria in the context of diagnostic accuracy or clinical effectiveness with human readers or ground truth established by experts.
The document is a 510(k) summary for a medical device, which focuses on demonstrating substantial equivalence to a legally marketed predicate device, primarily through non-clinical performance data and technological characteristics comparison. It does not contain information about a clinical study with acceptance criteria for diagnostic performance, human reader improvement, or ground truth established by experts.
However, I can extract the acceptance criteria and performance data for the non-clinical performance tests described:
1. Table of Acceptance Criteria and Reported Device Performance
Test Type | Acceptance Criteria | Reported Device Performance |
---|---|---|
Dynamic Fatigue Tests | Based on ISO 14801 Dentistry - Implants - Dynamic fatigue test for endosseous dental implants | Implicitly met: "non-clinical performance test data are included to support substantial equivalence" and "Performance testing has been conducted... to verify that the subject device meets its predetermined performance requirements and the results support a conclusion of substantial equivalence." (Specific quantitative results are not provided in this summary.) |
Bond Strength (SynCone® 5° Taper caps and ATLANTIS® Conus Structure) | Verify bond strength when subjected to pull-off loads. | Implicitly met: "Testing in order to verify the bond strength... when subjected to pull-off loads." (Specific quantitative results are not provided in this summary.) |
Dimensional Verification Analysis (Conical Connection Cavities) | Ensure correct fit with SynCone® 5° Taper caps (Degulor®). | Implicitly met: "Dimensional verification analysis... to ensure correct fit with SynCone® 5° Taper caps (Degulor®)." (Specific quantitative results are not provided in this summary.) |
2. Sample size used for the test set and the data provenance
The document does not specify the sample sizes for the non-clinical performance tests (dynamic fatigue, bond strength, dimensional verification). The data provenance is internal testing performed by Dentsply Sirona. These are prospective tests designed to evaluate the physical properties of the device.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
Not applicable. This device is not a diagnostic tool requiring expert interpretation or ground truth establishment in a clinical sense. The "ground truth" here pertains to engineering specifications and performance standards outlined in ISO 14801 and internal Dentsply Sirona testing protocols.
4. Adjudication method for the test set
Not applicable. The tests are mechanical and dimensional, not requiring expert adjudication of results. The results are typically compared against pre-defined engineering specifications.
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 is a physical dental implant component, not an AI-assisted diagnostic device.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable. This is a physical dental implant component, not an algorithm.
7. The type of ground truth used
For the non-clinical performance tests, the "ground truth" refers to established engineering standards (e.g., ISO 14801) and internal design specifications for mechanical strength, bond strength, and dimensional accuracy.
8. The sample size for the training set
Not applicable. The device is a physical product, not an AI model requiring a training set. The design and manufacturing processes are iterative but do not involve "training data" in the AI sense.
9. How the ground truth for the training set was established
Not applicable, as there is no "training set" for this physical device. The design and manufacturing parameters are established through engineering principles, material science, and prior regulatory clearances of similar devices.
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