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510(k) Data Aggregation

    K Number
    K222738
    Manufacturer
    Date Cleared
    2023-04-13

    (216 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K153015, K161689, K182091, K192436

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

    Point implant system is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple units restorations including; cemented retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

    Device Description

    Point implant system is a dental implant system consisting of fixtures, mount & mount screws, abutments (cemented, solid, angled, temporary, healing), abutment screws, and cover screws. The applied part is oral and the contact duration is C (>30 days). The patient population is dental prosthetic patients. The materials used include Unalloyed Titanium (ASTM F67), Alloyed Titanium (ASTM F136), and Polyoxymethylene (CAS No.: 30846-29-8).

    AI/ML Overview

    The provided document is a 510(k) Summary for the Point implant system. It primarily focuses on demonstrating substantial equivalence to predicate devices rather than presenting a study proving a device meets specific acceptance criteria for performance metrics like accuracy, sensitivity, or specificity. Therefore, many of the requested categories about acceptance criteria, efficacy studies, and ground truth are not directly addressed in this type of submission.

    However, I can extract information related to non-clinical testing and general acceptance of performance based on standards.

    Here's a breakdown of the available information:

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

    Acceptance Criteria / StandardReported Device Performance (Summary)
    BiocompatibilityMet criteria of ISO 10993 series for medical devices.
    Fatigue (ISO 14801:2016)Result is "strong enough to achieve their intended use."
    Non-pyrogenic (USP Bacteria Endotoxins Test)Meet established pyrogen limit.
    Usability Evaluation (ISO 11607-1:2019 & FDA Guidance)Aseptic presentation evaluated.
    Packaging Integrity (Low and high magnification images)Evaluation of broken tip and damage after removal from packaging and disconnection of fixture jig.
    Quality System (QS) PlanMethod and frequency of acceptance activities ensure conformity with product specifications.
    Gamma Sterilization (ISO 11137-1, -2)Achieved a Sterility Assurance Level (SAL) of 10^-6. Demonstrated a shelf life of 5 years for fixture, 8 years for healing abutment.
    Steam Sterilization (ANSI/AAMI ST79, ST8, ISO 17665-1, -2)Achieved a Sterility Assurance Level (SAL) of 10^-6. Validated for abutments with the same material/process.
    MRI Safety (FDA Guidance "Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment")MRI review performed to evaluate metallic devices for magnetically induced displacement force and torque.

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

    • Sample Size: Not specified for any of the non-clinical tests.
    • Data Provenance: Not specified. The manufacturer is PointNix Co., Ltd. from REPUBLIC OF KOREA.

    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 and not provided in a 510(k) summary for a dental implant system. The document focuses on physical, chemical, and biological performance testing against established standards, not on diagnostic accuracy requiring expert consensus as ground truth.

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

    • Not applicable. The tests mentioned are non-clinical, objective tests against engineering and biological standards, not requiring human adjudication of results in the way a clinical imaging study might.

    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 dental implant system, not an AI-powered diagnostic device. No MRMC studies were mentioned.

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

    • Not applicable. This is a dental implant system, not an algorithm.

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

    • For the non-clinical tests, the "ground truth" or reference for acceptance is primarily the criteria defined by international and national standards (e.g., ISO 10993, ISO 14801, ISO 11137, ANSI/AAMI, USP), as well as FDA guidance documents. These standards define methodologies and acceptable limits for properties like biocompatibility, fatigue strength, sterility, and packaging integrity.

    8. The sample size for the training set

    • Not applicable. This is a medical device (dental implant), not a machine learning model that requires a training set.

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

    • Not applicable. (See answer to #8).

    Summary of Study Type:

    The "studies" described are a series of non-clinical performance tests conducted to demonstrate that the physical, chemical, and biological properties of the Point implant system meet established international standards and FDA guidance for dental implants. These are largely laboratory-based tests comparing the device's performance against predefined thresholds and methodologies specified in the standards. No clinical studies (human trials) were included in this 510(k) submission.

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    K Number
    K212702
    Date Cleared
    2022-10-13

    (413 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K192436, K161689, K182091, K120847, K152509

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

    The IM/ST Fixture 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

    The proposed device, IM/ST Fixture System, is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading.

    Implant system contain dental implant and abutment. The dental implant system, IM Implant System and ST Implant System, both of which are divided into mini implant and regular implant. IM Implant and ST Implant have different designs for the external thread section. The external thread part of IM implant is composed of conical shape, double thread and spiral groove, while The external thread part of ST implant is composed of conical shape, single thread, neck micro thread and cutting groove. Both IM implant and ST implant are available in diameters of 3.75, 4.2, 4.6 and 5.05mm and lengths of 7, 8.5, 10, 11.5, 13 and 15mm, and both are bone level. The "mini" and "regular" differ in size, but abutments are cross-compatible with both IM and ST implant types, and the abutment is attached to the implant by abutment screw and fastened to the implant. The material of abutment screw is Titanium Alloy (Ti-6A1-4V, ASTM F136).

    The implants are bone level. The implants were made of Pure Titanium Grade 4 and underwent sandblasting and acid etching process. Modified surface testing (SEM/EDS) for blasted/etched surfaces was conducted to demonstrate removal of particles and chemicals from implant surface.

    Abutment can be divided into healing abutment, straight abutment, multi-abutment, multi-angled abutment and temporary abutment. And it is divided into mini abutment and regular abutment. In addition, abutment also has three types of cylinder, angled cylinder and temporary cylinder.

    AI/ML Overview

    The provided document is a 510(k) summary for the Guilin FiTeeth Medical Instrument Co., Ltd. IM/ST Fixture System. It describes the device and its comparison to predicate and reference devices to demonstrate substantial equivalence, rather than establishing acceptance criteria and proving performance against them through a clinical study with detailed metrics like sensitivity, specificity, or AUC.

    Therefore, the requested information for acceptance criteria and study details cannot be extracted as the document pertains to a medical device submission for substantial equivalence based on non-clinical tests and technological characteristics comparison, not an AI/Software as a Medical Device (SaMD) performance study with specific acceptance criteria, test sets, ground truth establishment, or human-in-the-loop effect sizes.

    The document states:

    • "No clinical study is included in this submission." on page 6.

    Instead, the submission relies on:

    • Non-clinical testing: This included biocompatibility (ISO 10993-1, USP ), dynamic fatigue (ISO 14801), material specifications (ASTM F136, ASTM F67), sterilization validation (ISO 17665-1, ISO 17665-2, ISO 11137-2, ISO 11137-1), accelerated aging (ASTM F1980), and MRI safety review. These tests verify that the device meets design specifications and complies with relevant standards.
    • Technological characteristics comparison: The proposed device was compared in detail to a primary predicate device (K121995, OSSTEM IMPLANT CO.,LTD TS FIXTURE SYSTEM) and several reference devices for its abutment components. Differences in structure, body diameter, implant length, shelf life, and dimensions of various abutment types were assessed, and the manufacturer argued these differences do not affect substantial equivalence based on mechanical testing, coverage by predicate/reference ranges, or biocompatibility evaluations.

    Since this is a submission for a traditional medical device (dental implant system) and not an AI/SaMD, the typical acceptance criteria and study details related to AI performance (e.g., sensitivity, specificity, AUC, human reader improvement with AI assistance, independent test sets, expert ground truth adjudication) are not applicable or provided in this document.

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    K Number
    K213599
    Device Name
    SuperLine
    Manufacturer
    Date Cleared
    2022-02-23

    (100 days)

    Product Code
    Regulation Number
    872.3640
    Panel
    Dental
    Why did this record match?
    Reference Devices :

    K160965,K192436,K141457,K041368,K092035

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

    SuperLine® implants are indicated for use in surgical and restorative applications for placement in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, in order to restore the patient's chewing function. SuperLine® implants are indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Single tooth cases on 7 mm length implants are indicated for delayed loading.

    Device Description

    The purpose of this submission is to add dental implants to the SuperLine components cleared in K160965. This submission includes two series of implants: SuperLine FXSxxxxB Series and SuperLine FXSxxxx Series.

    The FXSxxxB Series has a machined collar height that ranges from 0.03 mm (on the 3.6 mm body diameter implant) to 0.6 mm (on the 5.0 mm body diameter implant). All FXSxxxxB Series implants have an endosseous length of 7 mm, and threaded lengths ranging from of 6.98 mm to 6.4 mm. Other than the endosseous length of 7 mm, the subject device FXSxxxB implants are identical in design and sizes to SuperLine implants cleared in K160965.

    The FXSxxxx Series has machined collar 1.5 mm in height for all implant body diameter sizes. For body diameters 4.0 mm to 5.8 mm, the collar has a reverse taper. All FXSxxxx Series implants have an endosseous length of 7 mm, and a threaded length of 5.5 mm. The FXSxxxx series implant design has not been cleared previously by FDA for any body diameter or length.

    All subject device implants are manufactured from the same unalloyed titanium conforming to ASTM F67 and have the same surface treatment (S.L.A., Al2O3 blasted and acid etched) as the dental implants cleared in K160965.

    All subject device implants are compatible with previously-cleared abutments and prosthetic components from Dentium Co., Ltd., including those cleared in K192436, K141457, and K041368.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device (SuperLine dental implants) and does not contain information about acceptance criteria or a study proving the device meets acceptance criteria. The document discusses substantial equivalence to predicate devices based on non-clinical data and design comparisons.

    Therefore, I cannot fulfill your request for information regarding acceptance criteria and a study demonstrating device performance against those criteria.

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    K Number
    K203554
    Date Cleared
    2021-08-28

    (267 days)

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

    The AnyOne External Implant System is intended to be surgically placed in the maxillary or mandibular molar areas for the purpose providing prosthetic support for dental restorations (Crown, bridges, and overdentures) in partially or fully edentulous individuals. It is used to restore a patient's chewing function. Smaller implants (less than 6.0 mm) are dedicated for immediate loading when good primary stability is achieved and with appropriate occlusal loading. Larger implants are dedicated for the molar region and are indicated for delayed loading.

    Device Description

    AnyOne External Implant System is an integrated system of endosseous dental implants which designed to support prosthetic devices for partially or fully edentulous patients and consists of fixtures and abutments. The dental implants which used in conjunction with other prosthesis restore the lost chewing ability and improve the appearance. AnyOne External Fixture is a substructure of a dental implant system made of CP Ti Grade 4 with the surface treated by SLA method. It is placed in the anterior or posterior site of maxillary or mandibular jawbone considering bone quality and bone quantity. Dental prosthesis is a superstructure of a dental implant system and connecting elements between the dental implant and the crown. It is made of Ti-6A1-4V ELI, Gold alloy, CCM alloy and intended to be placed on the fixture allows single & multiple prosthetic restore a patient's chewing function.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the AnyOne External Implant System, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission details the equivalence to predicate devices rather than explicit, stand-alone acceptance criteria with specific numerical thresholds for each component. However, the core acceptance criteria revolve around demonstrating substantial equivalence to existing, legally marketed devices (predicates and reference devices). The reported performance across all components is that they met the pre-set criteria for the conducted tests.

    Acceptance Criteria (Implied)Reported Device Performance
    Biocompatibility (following ISO 10993-1) Identical material, manufacturing, and patient-contacting parts as predicate deviceThe subject device has the same material composition, manufacturing process, and patient contacting parts as predicate and reference devices, indicating it meets biocompatibility.
    Surface Treatment (following 'Section 11 of Class II Special Controls Guidance Document...') Identical surface treatment and manufacturing as predicate deviceThe subject device has the same surface treatment (S.L.A for fixture, Anodizing for abutment, TiN coating for abutment) and manufacturing process as predicate and reference devices.
    Pyrogen and Endotoxin Levels (following USP 39 ) Endotoxin levels below 0.5 EU/mLEndotoxin testing will be conducted on every batch with a testing limit of below 0.5 EU/mL. (Note: This is a statement of intent for ongoing quality control, not a direct performance result from the validation study, but implies the acceptance criterion).
    Sterility Assurance Level (SAL) (following ISO 11137 and ISO 17665-1, 2) SAL of 10⁻⁶Sterilization validation tests achieved a sterility assurance level of 10⁻⁶.
    Shelf Life (following ASTM F1980) 5 years shelf lifeTest results validated a 5-year shelf life using the accelerated aging method.
    Performance Tests (following ISO 14801 and 'Class II Special Controls Guidance Document...') Static compression-strength and fatigue tests met pre-set criteria.The test results met the pre-set criteria for static compression-strength and fatigue tests for all relevant components, demonstrating substantial equivalence to predicate devices.

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the numerical sample size for the test set used in the performance bench tests (static compression-strength and fatigue tests). It mentions "test was performed on the subject device and predicate device" and "representative specimen".

    • Sample Size (Test Set): Not explicitly stated as a numerical value for each test (e.g., how many implants were tested for fatigue). It generally refers to "the subject device and predicate device" and "representative specimen" in singular form, implying at least one of each worst-case scenario. However, for a regulatory submission of this nature, multiple samples would typically be tested to establish statistical confidence, even if not explicitly detailed in this summary.
    • Data Provenance: The study is non-clinical bench testing. The country of origin of the data is not specified, but the applicant and correspondent are located in the Republic of Korea. The tests are prospective as they were conducted specifically for this submission to demonstrate substantial equivalence.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of those Experts

    This is not applicable as the studies are non-clinical bench tests (physical properties, biocompatibility, sterilization, etc.). Ground truth in this context is established by adherence to recognized international standards (ISO, ASTM, USP) and FDA guidance documents. There is no mention of human experts interpreting test results for "ground truth" in the way it might apply to a clinical study involving medical image analysis, for example.

    4. Adjudication Method for the Test Set

    This is not applicable for non-clinical bench testing. Passing or failing criteria are determined by adherence to established engineering and material science standards (e.g., force applied, number of cycles, endotoxin concentration limits).

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No. This is a submission for a dental implant system involving physical components. MRMC studies are typically performed for AI/CAD systems that assist human readers in tasks like medical image interpretation.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    No. As above, this is for a physical medical device. There is no algorithm involved.

    7. Type of Ground Truth Used

    The "ground truth" for the non-clinical tests is based on:

    • Standardized Test Methods: Adherence to international standards such as ISO 14801 for mechanical testing, ISO 10993-1 for biocompatibility, ISO 11137 and ISO 17665-1, 2 for sterilization, ASTM F1980 for shelf life, and USP 39 for endotoxin testing.
    • Predicate Device Comparison: Substantial equivalence is established by demonstrating that the subject device's performance, materials, and design are comparable to legally marketed predicate and reference devices. The predicate devices themselves serve as a form of "ground truth" for acceptable performance and safety within their intended use.

    8. Sample Size for the Training Set

    Not applicable. There is no "training set" as this is a physical medical device, not a machine learning algorithm.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable. See point 8.

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    K Number
    K210080
    Manufacturer
    Date Cleared
    2021-06-04

    (143 days)

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

    Dentis s-Clean s-Line Mini is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple unit restorations including; cemented retained, screw retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework. This system is dedicated for one and two stage surgical procedures. This system is intended for delayed loading.

    Device Description

    Dentis s-Clean s-Line Mini is composed of Fixture and Abutments. s-Clean SO-SL Fixture Mini is a thread type implant made of Pure titanium according to ASTM F67 which will be placed in the alveolar bone to replace the function of the missing tooth. This device has connection between the upper prosthesis and the internal Hex. The subject implant body has a two screw-joint (structured with Upper and Lower screw joints) and a hex anti-rotation design connection. The two-screw-joint feature is for diverse screw connection with other abutment that has 1.6M screw or 2.0M Screw. The surface of fixture is treated with SLA (Sandblasted with Large-grit and Acid-etching). It is only part to be implanted into bone, and to provide connection of prosthetic devices or other components of a dental implant set with human body (mandibular or maxillary bone). The system includes various abutments (Cover Screw, Healing Abutment, Sole Abutment, TiN Half Coating Sole Abutment, Couple Abutment, TiN Half Coating Couple Abutment, Angled Abutment, TiN Half Coating Angled Abutment, Abutment Screw, Temporary Abutment, MU Straight Abutment, MU Angled Abutment, MU Angled Abutment Screw) made from Pure titanium (ASTM F67), Ti-6Al-4V (ASTM F136), or PEEK material. Some abutments have Anodizing (Gold Color) or TiN-Coating surface treatments.

    AI/ML Overview

    This document (K210080) describes the Dentis s-Clean s-Line Mini, an endosseous dental implant system, and its substantial equivalence to predicate devices, rather than an AI/ML-driven device requiring a study to prove meeting acceptance criteria in the context of diagnostic performance (e.g., sensitivity, specificity, AUC).

    The acceptance criteria described in this document are related to the physical, chemical, and mechanical properties, as well as the sterility and biocompatibility of the dental implant components, and their substantial equivalence to already marketed devices. The "study" proving acceptance is a series of non-clinical tests and comparisons to predicate devices.

    Therefore, I cannot provide a table with "acceptance criteria and reported device performance" as typically found for AI/ML diagnostic devices (e.g., sensitivity, specificity). Instead, I will describe the non-clinical tests and their outcomes as presented in the document to demonstrate the device meets its acceptance criteria for safety and effectiveness as a physical medical device.

    1. Table of Acceptance Criteria (for a physical dental implant) and Reported Device Performance

    Since this is a physical dental implant, the "acceptance criteria" are based on meeting established standards and demonstrating substantial equivalence to predicate devices in terms of material, design, performance, and biocompatibility.

    Acceptance Criteria CategorySpecific Criteria (as implied by tests/comparisons)Reported Device Performance / Method of Proof
    Material CompositionConformance to ASTM F67 (Pure titanium) and ASTM F136 (Ti-6Al-4V ELI) standards.Subject device components (fixture, cover screw, healing abutment, temporary abutment) are fabricated from Pure titanium (ASTM F67). Other abutments are fabricated from Ti-6Al-4V ELI (ASTM F136). Temporary abutment also made of PEEK. This demonstrates material compatibility with predicates.
    BiocompatibilityMeet ISO 10993 standards (e.g., cytotoxicity, sensitization, irritation, genotoxicity, systemic toxicity, implantation).Biocompatibility testing was performed on predicate devices (K153639, K171027, K150344, K171694) and was leveraged for the subject device because both products are manufactured with the same materials and manufacturing process. Results met ISO 10993 criteria.
    SterilizationEffective sterilization and maintenance of sterility.Fixture sterilization validation (ISO 11137-1,2,3) leveraged from predicate K192688. End User Sterilization Validation Test Report on Abutments (ANSVAAMI ST79, ISO 17665-1, ISO 17665-2, ISO 11737-1, ISO 11737-2, ISO 11138-1) leveraged from predicate K11364. Fixtures provided sterilized; other abutments provided non-sterilized for end-user sterilization.
    Shelf-LifeMaintain integrity and performance over specified shelf-life.Shelf-Life Test on fixtures leveraged from predicate K153639 (ASTM F1980), as material, sterilization, packaging, and manufacturing are the same.
    Bacterial EndotoxinMeet endotoxin limits for medical devices.Bacterial Endotoxin Test Report on fixtures leveraged from predicate K192688 (ANSVAAMI ST72:2011, USP , USP ).
    Mechanical Performance (Fatigue)Withstand cyclic loading without failure, demonstrating structural integrity comparable to or better than predicates.Fatigue Testing under worst-case scenario (ISO 14801:2016) was performed on the subject device. A comparative fatigue test between single-screw and dual-screw joint implants showed that the device performance was substantially equivalent.
    Surface CharacteristicsComparable surface treatment properties to predicates.Fixture surface treated with SLA (Sandblasted with Large-grit and Acid-etching). Surface roughness, surface composition analysis, and SEM imaging were provided (compared to K153639) to demonstrate substantial equivalence.
    Dimensional ToleranceDimensions within acceptable manufacturing tolerances.Reported tolerance of dimension for fixtures and abutments is within ± 1% range. This is a manufacturing acceptance criterion rather than a test result.
    Indications for UseAligned with predicate devices for safe and effective use.Identical indications for use as the primary predicate device (K153639), including use in partially/fully edentulous mandibles/maxillae, support for single/multiple unit restorations (cemented, screw-retained, overdenture, fixed bridgework), one/two-stage surgical procedures, and delayed loading.
    Design CharacteristicsOverall design comparable and functionally equivalent to predicates.Detailed comparison tables are provided for each component (fixture, cover screw, various abutments, screws) against multiple predicate/reference devices, highlighting similarities in design, diameter, length, angulation (where applicable), coating, and material. Any differences are explained and justified by comparison to other referenced devices.

    2. Sample Size Used for the Test Set and Data Provenance:

    • Sample Size for Test Set: The document doesn't specify a "test set" in the context of an AI/ML diagnostic algorithm. For the physical device, fatigue testing per ISO 14801 would involve a specific number of samples, but the exact count is not provided. Other tests like biocompatibility, sterilization, and shelf-life are typically performed on a limited number of samples representative of the product. The document states a comparative fatigue test was conducted.
    • Data Provenance: Not applicable in the context of AI/ML. The "data" here refers to the results of non-clinical bench testing and material characterization. The manufacturer is Dentis Co., Ltd. from South Korea. The testing was performed according to international standards (ISO, ASTM, USP) and FDA-recognized guidance. It's a "prospective" assessment in that the tests were done on the manufactured devices to demonstrate their properties.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:

    • This is not applicable for a physical medical device submission like this one. "Ground truth" in this context refers to established standards (e.g., ISO for fatigue, ASTM for materials, ISO/AAMI for sterilization), which are derived from broad expert consensus in relevant fields (engineering, microbiology, toxicology, dentistry).

    4. Adjudication Method for the Test Set:

    • Not applicable as this is not an AI/ML diagnostic study with human readers. Test results are compared against defined standard criteria.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done:

    • No, this type of study is not relevant for a physical dental implant. MRMC studies are typically for evaluating the diagnostic performance of AI/ML systems, often with human readers.

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

    • Not applicable. There is no algorithm or AI component in this dental implant.

    7. The Type of Ground Truth Used:

    • The "ground truth" for proving the device's acceptance is based on:
      • International Standards: Conformance to recognized standards such as ISO 14801 (fatigue), ISO 10993 series (biocompatibility), ISO 11137 series (sterilization), ASTM F67, F136, F1980 (materials, shelf-life), and AAMI/USP guidelines for bacterial endotoxins.
      • Predicate Device Comparison: Substantial equivalence is established by demonstrating that the subject device has the "same intended use and fundamental scientific technology" as legally marketed predicate devices, and any differences "do not raise different questions of safety and effectiveness."

    8. The Sample Size for the Training Set:

    • Not applicable. There is no AI/ML training set for this physical device.

    9. How the Ground Truth for the Training Set Was Established:

    • Not applicable. There is no AI/ML training set.
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