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The Braces on Demand Bracket is intended for use as a clear, plastic bracket system to provide orthodontic movement of natural teeth.

The proposed device is a 3D-printed bracket system that directly bonds to either primary teeth, permanent teeth, or mixed dentition to provide for orthodontic treatment for patients with malocclusions. Each bracket is 3D printed using a photopolymer denture resin. The Braces on Demand Bracket System has an integral hook design, which allows for attachment of accessories such as elastics or springs to assist the clinician in producing the desired tooth movement. The hook position on the Braces on Demand brackets can be on the mesial occlusal tiewing or the distal occlusal tiewing, similar to traditional orthodontic brackets. The application and removal of the Braces on Demand brackets are similar to other orthodontic brackets in that it requires orthodontic adhesive for bonding and standard orthodontic tools and techniques for de-bonding. The bonding surface of the bracket is a mechanical dovetail undercut design, allowing the bracket to mechanically retain the adhesive and bond to the facial surface of the tooth.

The provided document is a 510(k) Summary for the "Braces on Demand Bracket." It primarily focuses on demonstrating substantial equivalence to predicate devices based on various characteristics, manufacturing processes, and material properties. However, it does not contain information about acceptance criteria for device performance (such as accuracy, sensitivity, specificity, or other performance metrics typically associated with AI/ML devices), nor does it describe a study specifically designed to prove the device meets such criteria.

The information provided relates to testing for physical properties and biocompatibility, which are different from the performance metrics typically found in studies for AI/ML-driven devices.

Therefore, I cannot provide the requested information about acceptance criteria and a study that proves the device meets them from the given text.

Here's an breakdown of the requested information, indicating why it cannot be extracted:

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

   • Not found. The document discusses "Bond Strength and Hook Strength testing" and "Dimensional Analysis and Dimensional Stability Tests," stating that the device was found "substantially equivalent" to the predicate. However, it does not provide specific acceptance criteria values (e.g., "bond strength > X MPa") or specific reported performance values. It also doesn't mention any performance metrics related to orthodontic movement efficacy that would typically be assessed in a clinical study.

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

   • Not found. No information is given about sample sizes for any performance testing, nor about data provenance.

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 found. This section is relevant for studies involving human experts for ground truth assessment (e.g., image interpretation). This document does not describe such a study.

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

   • Not found. This is typically associated with ground truth establishment by multiple experts. Not applicable here.

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 found. The document explicitly states: "No animal or human testing are required for this product because it is composed of the same materials, is designed similarly, and is manufactured by method similar to the predicate device." Therefore, no MRMC study or study involving human readers with/without AI assistance was conducted or reported.

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

   • Not found. While the device involves software for design and manufacturing, the document does not describe a standalone performance study of an algorithm in the context of clinical decision-making or diagnosis. The software verification and validation are for the manufacturing process, not for clinical performance metrics.

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

   • Not found. Since performance studies with clinical outcomes are not described, there is no mention of ground truth types.

8. The sample size for the training set

   • Not found. The document does not describe a machine learning model that would require a training set.

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

   • Not found. Not applicable.

In summary, the provided 510(k) Summary focuses on demonstrating substantial equivalence based on technical specifications, materials, manufacturing processes, and static physical property tests, rather than detailing clinical performance studies with specific acceptance criteria and outcome metrics that would be typical for an AI/ML powered device.

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The GR-17 Resin System is a light-curable resin intended to be used in conjunction with extra-oral curing light equipment.

The GR-17 temporary is indicated for the fabrication, by additive manufacturing, of temporary anterior dental restorations.

The GR-17.1 temporary is indicated for the fabrication, by additive manufacturing, of temporary dental restorations, and for the fabrication, by additive manufacturing, of preformed denture teeth to be used in a denture.

GR-17 Resin System includes the GR-17 temporary and GR-17.1 temporary It and is made of functional methacrylic resins and inorganic fillers with particle sizes from 0.4 to 3 microns. It is available in seven shades based on the shade guide, A1, A2, A3, A3.5, B1, B2 and bleach. The resin is a liquid photo-curable material that is polymerized by image projection systems at 405nm to create temporary dental restorations, and preformed denture teeth to be used in a denture. The GR-17 Resin System is intended to be used in conjunction with an additive Computer-Aided Manufacturing (CAM) and curing system such as Nyomo, Rapidshape, Envisiontec or Asiga Systems.

The provided document is a 510(k) summary for the GR-17 Resin System, a temporary crown and bridge resin. It describes the device's characteristics and compares it to predicate and reference devices to demonstrate substantial equivalence. However, this document does not contain the detailed information required to describe acceptance criteria and the study that proves the device meets those criteria, specifically concerning performance metrics for an AI/algorithm-based device.

The document mentions "Performance testing for the GR-17 Resin System was performed in accordance with ISO 10477 and ISO 22112" and lists "Flexural Strength," "Modulus of Elasticity," "Water Absorption," and "Solubility" as physical and mechanical properties. This indicates testing for the material properties of the resin itself, not the performance of an AI/algorithm-based device.

Therefore, I cannot provide the requested information about acceptance criteria for an AI/algorithm, sample sizes for test/training sets, expert qualifications, adjudication methods, or MRMC studies, as these types of studies are not described in this regulatory submission for a dental resin.

The document covers a physical medical device (dental resin) and not an AI/algorithm device. Therefore, the specific questions about AI/algorithm performance metrics, sample sizes for AI tests, expert adjudication, MRMC studies, and standalone performance for AI are not applicable to the content provided.

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