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MIS dental implant system is intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as artificial teeth, in order to restore masticatory function. When a one-stage surgical procedure is applied, the implant may be immediately loaded when good primary stability is achieved and the occlusal load is appropriate.

Narrow implants (Ø3.30mm) are indicated for use in surgical and restorative applications for placement only in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws, to provide support for prosthetic devices such as artificial teeth. Mandibular central and lateral incisors must be splinted if using two or more narrow implants adjacent to one another.

The subject devices, MIS Implants, are supplied sterile and packaged together with a cover screw which can be connected to the implant during the initial healing period after implant placement.

The implants and cover screws are made of titanium alloy (Ti-6Al-4V ELI complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant). The design and material of the implants and cover screws remain unchanged since most recently cleared 510(k).

The implants are also used with a wide range of previously cleared abutments which are sold separately.

This document is a 510(k) clearance letter for dental implants, not an AI/software as a medical device (SaMD) submission. Therefore, it does not contain the information requested regarding acceptance criteria and study proving device meets acceptance criteria for an AI/SaMD product.

The document discusses dental implants and their physical and material characteristics, regulatory classifications, predicate devices, and performance testing for mechanical properties, sterility, and packaging. The "Performance Data" section specifically mentions "Hydrophilicity testing" for "wet-packed implants" and other physical tests, but none of these relate to AI/SaMD performance metrics like sensitivity, specificity, or reader studies.

Therefore, I cannot provide a table of acceptance criteria, sample sizes for test sets, expert qualifications, or details on MRMC studies, standalone performance, or ground truth establishment relevant to an AI/SaMD product based on the provided text.

The prompt asks for information that this type of medical device submission (dental implants) would not typically include.

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Alpha Dent Implants Dental Implants System is intended for surgical placement in the maxillary and/or the mandibular arch, to support crowns, bridges, or over dentures, in edentulous patients. It is intended to provide support for prosthetic devices, such as artificial teeth, and to restore the patient's chewing function. The System is intended to be used in either single tooth or multiple teeth applications. The prostheses can be screw or cement retained to the abutment.

The Alpha Dent Implants Dental Implants System is indicated also for immediate loading when good primary stability is achieved and with appropriate occlusal loading.

Superior Active and Active Bio Plus are a conical-shaped implant with a helical aggressive thread. It is used under one- or two-steps procedure in all bone types. The implant has a platform with an inner cone and a hexagon for positioning.

Superior Active and Active Bio Plus consist of the implant itself and a cover screw, which are packed in a titanium cuff filled with isotonic sodium chloride solution and a plastic flask.

The implant surface treatment method, known as Sandblasted, Large Grit, Acid-Etched (SLA), is a technique designed to roughen the surface of dental implants. The SLA process consists of two key steps: sandblasting with large grit particles to create a roughened texture, followed by acid etching to refine the surface.

The implant WET packaging process involves placing the implant in a protective titanium sleeve within a vial filled with NaCl 0.9% solution. The vial is sealed with a lid and placed inside a blister package. Both the plastic vial and the blister package serve as sterile barriers.

Additional abutments to the already submitted abutments in K210499: The abutments are anodized. Healing caps for implants with conical connection and Anatomical Titanium Shoulder Abutments and Healing caps for Multi-Unit System are also described.

This document pertains to a 510(k) submission for the Alpha Dent Implants Dental Implants System (K240435). It details the device, its intended use, and a comparison to predicate devices to establish substantial equivalence.

Important Note: The provided document is a 510(k) summary, which focuses on demonstrating substantial equivalence to predicate devices through non-clinical performance data. It explicitly states: "No clinical studies were performed." Therefore, there is no information about a "study that proves the device meets acceptance criteria" in terms of clinical performance, sample sizes for test sets in clinical trials, experts for ground truth, adjudication methods, MRMC studies, or standalone algorithm performance, as these typically relate to clinical efficacy/effectiveness or AI/software performance, neither of which are the primary focus of this specific 510(k) for a dental implant system.

The "acceptance criteria" discussed below are related to the non-clinical performance testing conducted to support the substantial equivalence claim.

Acceptance Criteria and Device Performance (Non-Clinical)

1. Table of Acceptance Criteria and Reported Device Performance

Study Details (Non-Clinical Performance Testing)

2. Sample Size Used for the Test Set and Data Provenance:
The document does not specify the exact number of units tested for each non-clinical test (e.g., how many implants were tested for mechanical strength, how many samples for SEM/EDX, etc.). It states that "worst-case scenario" samples were tested for mechanical strength (e.g., "Implant Active Bio Plus (IABP)3.3x13 and Implant Superior Active(ISPA)3.5x13, along with Angulated Titanium Abutment 25 ° angulation").

The data provenance is from non-clinical laboratory testing conducted by the manufacturer (Alpha Dent Implants GmbH, based in Germany) or outsourced laboratories, as part of the 510(k) submission process. This is retrospective in the sense that the testing was performed before the submission for premarket review.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:
Not applicable in the context of this 510(k) submission. "Ground truth" established by experts in this context would typically refer to clinical or diagnostic evaluation (e.g., radiologist reads for AI models), which are explicitly stated as "No clinical studies were performed." The "ground truth" for the non-clinical tests are objective measurements based on established engineering and materials science standards (e.g., forces measured, chemical analysis).

4. Adjudication Method for the Test Set:
Not applicable, as this refers to clinical evaluation or expert consensus, not non-clinical performance testing.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done:
No. The document explicitly states "No clinical studies were performed." Therefore, no MRMC study was conducted or reported.

6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done:
Not applicable. This device is a dental implant system, not a software algorithm or AI.

7. The Type of Ground Truth Used:
The "ground truth" for the non-clinical performance testing is based on objective measurements from laboratory tests against established industry standards (e.g., ISO, ASTM, USP). For example, mechanical strength is measured against the failure loads defined by ISO 14801, surface properties are observed and measured via SEM/EDX and contact angle, and biocompatibility is assessed by established protocols like ISO 10993.

8. The Sample Size for the Training Set:
Not applicable. This is not an AI/ML device that requires a training set.

9. How the Ground Truth for the Training Set was Established:
Not applicable. This is not an AI/ML device.

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MIS Dental Implant System is intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as artificial teeth, in order to restore masticatory function. When a one-stage surgical procedure is applied, the implant may be immediately loaded when good primary stability is achieved and the occlusal load is appropriate. Narrow implants (Ø3.3mm) are indicated for use in surgical and restorative applications for placement only in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws, to provide support for prosthetic devices such as artificial teeth. Mandibular central and lateral incisors must be splinted if using two or more narrow implants adjacent to one another.

The proposed MIS LYNX Conical Connection Dental Implants are intended for one- or two-stage dental implant procedures and are used in the upper or lower jaw for supporting tooth replacement to restore chewing function. The proposed dental implants have an internal conical connection with an anti-rotation index of six positions for standard and wide platforms and four positions for narrow platform. The proposed implants and cover screw are manufactured from titanium alloy (Ti-6A1-4V ELI complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant). The 3.3 mm diameter size implant is available in 10, 11.5, 13, and 16 mm lengths while the 3.75, 4.2, and 5.0 mm diameter size implants are available in 8, 10, 11.5, 13, and 16 mm lengths. The proposed implants feature an outer profile which has a coronal half which is cylindrical and an apical half which is conical. The threads are designed so the implant has a self-drilling property. The geometric design also includes spiral channels (flutes) stemming from the apex. These spiral channels are designed to enable insertion torque reduction when applying reverse torque. The proposed implant design also includes circumferential grooves at the coronal area which are called "micro-rings". These horizontal micro-rings are designed to increase the BIC (Bone to Implant Contact) of the implant with the bone. The proposed implants also feature a triangular neck ("V-Cut''). The gaps around the sides of the implant neck are designed to result in an open, compression free zone. The implant-abutment connection surface of the proposed MIS LYNX Conical Connection Implant is anodized for color coding to indicate the platform: yellow for narrow platform implants, purple for standard platform implants, and green for wide platform implants. The proposed implants are packaged in either a dry or wet package. Implants packaged in the wet packaging configuration are packaged in NaCl solution and are not anodized. The liquid environment is intended to maintain the super-hydrophilic (contact angle exhibited by water in contact with the surface is equal to zero degrees) property of the proposed dental implants until the implants are installed in the patients. Cover screws are intended to be used in a two-stage surgical procedure as temporary components to the proposed endosseous implant to allow healing of the soft tissue. They are inserted into the implant and the gums are sutured over it. Their purpose is to let the osseointegration begin without any forces being applied to the implant. After a healing period, the cover screw is exposed and removed, and replaced by either a healing cap or an abutment. The cover screws are also anodized for color coding.

The provided document is a 510(k) Summary for the MIS LYNX Conical Connection Implant System. It details the device, its intended use, and a comparison to predicate devices, focusing on demonstrating substantial equivalence through non-clinical testing.

However, the document does not describe a study that proves the device meets specific acceptance criteria based on clinical performance or an AI/algorithm-driven component. Instead, it focuses on non-clinical testing (fatigue, biocompatibility, sterilization, shelf-life, and MRI compatibility) to demonstrate the safety and effectiveness of the dental implant system itself, relative to predicate devices. There is no mention of an AI component, human-in-the-loop study, or any performance metrics like accuracy, sensitivity, or specificity that would be typical for an AI-driven medical device.

The section titled "8. Clinical Tests Summary and Conclusion" explicitly states: "Not applicable. There are no clinical tests submitted, referenced, or relied on in the 510(k) for a determination of substantial equivalence."

Therefore, based solely on the provided text, I cannot generate a response that fulfills the request for acceptance criteria and study details related to an AI/algorithm's performance because such information is not present in the document. The device in question is a dental implant system, not a software device that would typically have acceptance criteria focused on AI performance metrics.

To directly answer your prompt, given the provided text:

1. A table of acceptance criteria and the reported device performance:
Not applicable. The document describes non-clinical testing for a dental implant system, not performance metrics for an AI/algorithm. The "acceptance criteria" for the non-clinical tests are implied as meeting the standards (e.g., ISO 14801:2016 for fatigue, ISO 10993 series for biocompatibility) and demonstrating equivalence or superiority to predicate devices. For example, "Fatigue testing... confirms that the proposed device is similar or exceeds performance when compared to the predicate device (K172505) and reference (K112162) devices." And "Test results met acceptance criteria" for shelf-life testing. However, specific numerical acceptance criteria and reported performance values for each of these tests are not provided in a table format within this summary.

2. Sample sized used for the test set and the data provenance:
Not applicable for an AI test set. The document refers to samples used for non-clinical tests (e.g., implants for fatigue testing, materials for biocompatibility). Specific sample sizes are not detailed, but the tests are conducted on representative devices. Data provenance is implied as being from the manufacturer's internal testing as part of the 510(k) submission.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
Not applicable. This is not an AI/imaging device requiring expert ground truth for interpretation.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:
Not applicable.

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 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 device does not have an algorithm providing standalone performance.

7. The type of ground truth used:
Not applicable.

8. The sample size for the training set:
Not applicable. There is no mention of a training set as this is not an AI/machine learning device.

9. How the ground truth for the training set was established:
Not applicable.

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MIS Dental Implant System is intended to be surgically placed in the bone of the upper and lower jaw arches to provide support for prosthetic device, such as artificial teeth, in order to restore masticatory function. When a one-stage surgical procedure is applied, the implant may be immediately loaded when stability is achieved and the occlusal load in appropriate.

Narrow implants (03.3mm) are indicated for use in surgical and restorative applications for placement only in the mandibular central, lateral incisor and maxillary lateral incisor regions of partially edentulous jaws, to provide support for prosthetic devices such as artificial teeth. Mandibular central and lateral incisors must be splinted if using two or more narrow implants adjacent to one another.

The proposed MIS Lance+ Conical Connection Implant are dental implants with a cvlindrical and conical shaped outer profile. The implants have an internal conical implant-abutment connection geometry with an anti-rotation index of six positions for standard and wide platforms and four positions for narrow platform. The conical implant-abutment connection is identical to the internal conical connection geometry incorporated in the design of the reference device MIS C1 Conical Connection Implants (K172505). The implant abutment connection surface of the MIS Lance+ Conical Connection Implant is anodized for coloring coding purposes to indicate the platform. The color coding is identical to the reference devices MIS C1 Conical Connection Implant System (K172505).

The MIS Lance+ Conical Connection Implants are intended to be used in combination with a variety of conical connection abutments (cover screws, healing caps, cement-retained abutments and screwretained abutments, which were previously cleared for use with the MIS C1 Conical Connection Dental Implant System (K172505 for NP abutments and K112162 for SP and WP abutments). These abutments are manufactured with a conical connection compatible with the implants interface. Dental implant abutments are intended to be used in the upper or lower jaw used for supporting tooth replacements to restore chewing function. The abutments in combination with two-stage endosseous implants are intended to be used as a foundation for anchoring tooth replacements in either jaw. Restorations range from replacing one single tooth to fixed partial dentures using cementretained supra-constructions. No new Abutments are being proposed as part of this submission.

In addition, the proposed MIS Lance+ Conical Connection Implants will be provided in a wet package configuration immersed in NaCl solution as cleared under K200102 and branded as "CLEAR". The MIS CLEAR Lance+ Conical Connection Implants which are intended to be packaged in NaCl solution are not anodized.

The provided text is a 510(k) summary for a dental implant system (MIS Lance+ Conical Connection Dental Implant System) seeking FDA clearance. It describes the device, its intended use, and comparison to predicate devices, focusing on non-clinical performance data to demonstrate substantial equivalence.

There is no information in the provided text regarding acceptance criteria or a study that proves a device meets specific acceptance criteria in the context of an AI/ML medical device submission.

The document discusses:

• Device Type: Dental implants (physical medical device, not an AI/ML software device).
• Performance Testing: Mechanical fatigue testing (ISO 14801:2016), biocompatibility, sterilization, and shelf-life testing. These are standard tests for physical implants.
• Comparison to Predicate Devices: The submission aims to demonstrate substantial equivalence to existing dental implants (MIS Lance+ Internal Hex Dental Implant System and MIS C1 Conical Connection Dental Implant System).
• Absence of Clinical Data: The document explicitly states, "No human clinical data were included to support substantial equivalence."
• Absence of AI/ML components: The device described is a physical dental implant. There is no mention of any AI or machine learning components.

Therefore, I cannot extract the requested information (acceptance criteria for AI/ML performance, study details for AI/ML, human expert involvement, MRMC studies, standalone AI performance, ground truth for AI, training/test set sizes, etc.) from this document, as it pertains to a different type of medical device lacking AI/ML features.

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