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510(k) Data Aggregation

    K Number
    K232268
    Manufacturer
    Date Cleared
    2024-03-25

    (238 days)

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

    STERI-OSS Implant System is intended for use in partially or fully edentulous mandibles and maxilla, in support of single of multiple-unit restorations including; cemented retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework. STERI-OSS Implant System is for single stage surgical procedures. This system is intended for delayed loading.

    Device Description

    STERI-OSS Implant System, Fixture is a medical device made of titanium that is inserted into the maxillary or mandibular alveolar bone to support prosthesis such as artificial teeth for the patient's recovery of masticatory function.
    STERI-OSS Implant System. Abutment is inserted to support prosthesis such as artificial teeth, and is a medical device made of titanium alloy. It connects artificial teeth with a fixture implanted in the maxillary or mandibular alveolar bone where teeth are lost.

    AI/ML Overview

    The provided document is a 510(k) summary for the STERI-OSS Implant System, which is a dental implant system. This document focuses on demonstrating substantial equivalence to predicate devices rather than providing a study where the device meets pre-defined acceptance criteria for performance in a clinical setting. For medical devices undergoing 510(k) clearance, the primary goal is to show that the new device is as safe and effective as a legally marketed predicate device, not necessarily to meet specific novel performance acceptance criteria through clinical studies.

    Therefore, the requested information elements such as "acceptance criteria and the reported device performance," "sample sizes used for the test set," "number of experts used to establish ground truth," "adjudication method," "MRMC comparative effectiveness study," "standalone performance," "type of ground truth," "sample size for the training set," and "how ground truth for the training set was established" are typically not applicable in the context of a 510(k) substantial equivalence submission for a device like a dental implant. These elements are more commonly associated with clinical trials or performance studies for novel devices or software with AI/ML components requiring new clinical evidence.

    The document describes non-clinical testing to demonstrate that the differences between the subject device and predicate devices do not affect substantial equivalence.

    Here's a breakdown of the available and non-applicable information based on your request:


    1. Table of Acceptance Criteria and Reported Device Performance:

    This information is not applicable in the format typically used for performance studies with defined acceptance criteria for clinical outcomes. The document instead presents a comparison of technological characteristics with predicate devices and reports on non-clinical engineering and materials testing to support substantial equivalence.

    ItemAcceptance Criteria (Not explicitly defined for clinical performance)Reported Device Performance (as per non-clinical testing)
    Fixture- Material: Pure Titanium Grade 4 (ASTM F67)Matches predicate/reference devices
    - Connection type: Internal HexMatches predicate/reference devices
    - Surface Treatment: SLAMatches predicate/reference devices
    - Sterilization: Gamma SterilizationMatches predicate/reference devices
    - Dimensions: Within similar dimensional range of predicatesDemonstrated to be similar or within range
    Abutment- Material: Ti6Al4V ELI (ASTM F136)Matches reference devices
    (Straight Abutment)- Principle of operation: Cement retained restorationMatches reference devices
    - Surface Treatment: None (machined surface)Matches some reference devices; difference with TiN-coated predicate deemed minor
    - Dimensions: Similar design and dimension rangeDemonstrated to be similar or within range
    Abutment- Material: Ti6Al4V ELI (ASTM F136)Matches reference devices
    (Solid Abutment)- Principle of operation: Cement retained restorationMatches reference devices
    - Surface Treatment: None (machined surface)Matches some reference devices; difference with TiN-coated predicate deemed minor
    - Dimensions: Similar design and dimension rangeDemonstrated to be similar or within range
    Abutment- Material: Ti6Al4V ELI (ASTM F136)Matches reference devices
    (Angled Abutment)- Principle of operation: Cement retained restorationMatches reference devices
    - Surface Treatment: None (machined surface)Matches some reference devices; difference with TiN-coated predicate deemed minor
    - Dimensions: Similar design and dimension rangeDemonstrated to be similar or within range, supported by mechanical bench testing for differences
    Screw- Material: Ti6Al4V ELI (ASTM F136)Matches reference devices; difference with cp-Ti predicate deemed minor
    (Abutment Screw)- Principle of operation: Connect abutment to fixtureMatches reference devices
    - Surface Treatment: NoneMatches reference devices
    - Dimensions: Within reference device dimensionsDemonstrated to be within range
    Screw- Material: Ti6Al4V ELI (ASTM F136)Matches some reference devices; difference with cp-Ti predicate deemed minor
    (Cover Screw)- Principle of operation: Protect internal portion of implantMatches reference devices
    - Surface Treatment: NoneMatches some reference devices; difference with anodized predicate deemed minor
    - Dimensions: Within range of reference device dimensionsDemonstrated to be within range
    Abutment- Material: Ti6Al4V ELI (ASTM F136)Matches some reference devices; difference with cp-Ti predicate deemed minor
    (Healing Abutment)- Principle of operation: Help soft tissue of gum naturally formedMatches reference devices
    - Surface Treatment: NoneMatches some reference devices; difference with anodized predicate deemed minor
    - Dimensions: Similar design and dimension rangeDemonstrated to be similar or within range
    General Non-Clinical- ISO 14801:2016 (Fatigue)Successfully tested for worst-case scenario
    - ISO 11137-1/2 (Gamma Sterilization)Validated
    - ANSI/AAMI ST79, ISO 17665-1/2, ISO 11737-1/2, ISO 11138-1/3 (End User Sterilization)Validated
    - ASTM F88, F1140, F1929, F2096 (Shelf Life)Tested (5 years)
    - ISO 10993-1/5/12 (Biocompatibility)Evaluated and tested
    - USP (Pyrogen and Endotoxin)Endotoxin testing conducted per batch (limit
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    K Number
    K221315
    Date Cleared
    2023-10-25

    (537 days)

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

    K031055, K200586, K213599, K172640, K161416, K052823

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

    The UNIdental Symphony Implant 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 terminal or intermediate abutment support for fixed bridgework. The UNIdental Symphony Implant System is for single and two stage surgical procedures. It is intended for delayed loading.

    Device Description

    The UNIdental Symphony Implant System is a dental implant system made of Titanium 6AL 4V ELI alloy and CP Ti Grade 4 intended to be surgically placed in the bone of the upper or lower jaw arches for loading after a conventional healing period. The implants may be used to replace one or more missing teeth. The systems are similar to other commercially available products based on the intended use, the technology used, the claims, the material composition employed and performance characteristics. Symphony 1 Fixture is Bone level, and Symphony 2 Fixture is Tissue level.

    Symphony 1 Fixture is a taper shape that gradually decreases the outer diameter of the lower part from the upper part.

    And It is a taper shape that gradually decreases the outer diameter of the lower part from the upper part. It is a structure that can perform a tapping function at the same time without a separate tap. It couples up with the abutment and its hexagon shape.

    Symphony 2 Fixture is a structure with a round shape at the end. It couples up with the abutment and its octagon shape. The area that touches the patient's gums is pure titanium surface.

    The upper structure of the abutments support prosthetics such as artificial teeth to restore patient's total mouth function.

    AI/ML Overview

    The provided text details the 510(k) summary for the UNIdental Symphony Implant System, focusing on its substantial equivalence to predicate devices rather than directly presenting acceptance criteria and performance data in the traditional sense of a clinical study for an AI/CADe device.

    This document describes a dental implant system, which is a physical medical device, not a software or AI-driven diagnostic device. Therefore, the questions related to "AI vs without AI assistance," "standalone algorithm performance," "number of experts for ground truth," "adjudication methods," and "training/test set size and provenance" are not applicable to this type of medical device submission.

    The "acceptance criteria" for a dental implant system of this nature typically revolve around meeting established engineering standards and demonstrating comparable performance (e.g., mechanical strength, biocompatibility, sterilization efficacy) to already cleared predicate devices. The "study that proves the device meets the acceptance criteria" refers to the non-clinical testing performed to demonstrate substantial equivalence.

    Here's an interpretation of the provided information based on the typical requirements for a physical medical device:

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

    The document doesn't explicitly list "acceptance criteria" in a numerical table format for each performance metric, as one might see for an AI device's sensitivity/specificity. Instead, the acceptance is implicitly demonstrated by showing substantial equivalence to existing predicate devices through various non-clinical tests and material comparisons. The "performance" is implicitly deemed acceptable if it meets the established standards that the predicates have also met.

    Acceptance Criteria (Implied)Reported Device Performance (Demonstrated by Substantial Equivalence and Non-Clinical Testing)
    Intended Use EquivalenceMatches the intended use of predicate devices (partially or fully edentulous mandibles and maxillae, supporting single/multi-unit restorations).
    Technological Characteristics EquivalenceUses similar designs, operating principles, materials (Titanium 6AL 4V ELI alloy and CP Ti Grade 4), and sterilization methods (Gamma, Steam).
    BiocompatibilityBiocompatibility tests performed per ISO 10993-3, 5, 6, 10, and 11, indicating device is biocompatible.
    Sterilization EfficacySterilization validating testing performed per ISO 11137 (gamma) and ISO 17665-1/17665-2 (steam), demonstrating effective sterilization.
    Mechanical Strength/FatigueCompressive load and fatigue tests performed in accordance with ISO 14801, demonstrating mechanical integrity comparable to predicate devices. The text explicitly states, "We have conducted a fatigue test and the subject device is substantially equivalent to the predicate device."
    Shelf-life StabilityShelf-life testing performed in accordance with ASTM F1980, ISO 11607, ASTM F88, ASTM F1140, ASTM F1929, ASTM F2096, and ISO 11737-2, indicating stable performance over time.
    Surface CharacteristicsSEM and EDS performed to evaluate fixture surface characteristics after SLA treatment. (Implied acceptability of surface given no issues raised).
    Bacterial Endotoxin Levels (LAL)LAL tests performed in accordance with USP 85. (Implied acceptable levels given no issues raised).
    MRI SafetyNon-clinical worst-case MRI review performed based on existing literature (e.g., Kim et al. 2019, Woods et al. 2019) and alignment with FDA guidance, concluding safety in MRI environment due to material properties.

    2. Sample sized used for the test set and the data provenance:

    • Sample Size for Test Set: Not explicitly stated as a "test set" in the context of an AI model. For the non-clinical physical testing (fatigue, biocompatibility, sterilization, etc.), the sample sizes would be determined by the specific ISO/ASTM standards referenced. These standards usually specify the number of samples required for robust statistical analysis to demonstrate compliance. This is not a "data provenance" like for AI models, but rather the laboratory conditions under which the physical tests were conducted. The document doesn't specify the country of origin for the non-clinical testing data, but the submitter is UNIdental Co., Ltd. in Korea. This is inherently a prospective testing process for the device being submitted.

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

    • Not Applicable. This is a physical dental implant, not a diagnostic AI device requiring expert consensus for ground truth.

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

    • Not Applicable. See point 3.

    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, 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, not an algorithm.

    7. The type of ground truth used:

    • For physical devices, "ground truth" is established through adherence to recognized national and international consensus standards (e.g., ISO, ASTM) for material properties testing, mechanical performance, biocompatibility, and sterilization. For example, the "ground truth" for fatigue resistance is meeting the load cycles and fracture limits defined by ISO 14801. Biocompatibility "ground truth" is meeting the criteria of ISO 10993 series.

    8. The sample size for the training set:

    • Not Applicable. This is a physical device submission; there is no "training set" in the context of an AI model.

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

    • Not Applicable. See point 8.
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    K Number
    K142813
    Date Cleared
    2015-07-31

    (305 days)

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

    K041368, K052823, K070562

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

    The Biogenesis Implant System –Kisses is in partially or fully edentulous mandibles and maxillae, in support of single or multiple-unit restorations including; cemented retained, or overdenture restorations, and terminal or intermediate abutment support for fixed bridgework.

    The Biogenesis Implant System - Kisses is for single and two stage surgical procedures. It is for delayed loading.

    Device Description

    The Biogenesis 110 Implant System - Kisses is a dental implant system made of titanium intended to be surgically placed in the bone of the upper or lower jaw arches. This product is a substructure of a dental implant system to replace a single tooth, partial tooth and the lost root of edentulous patients. It consists of the hex part to be coupled to the superstructure, the single thread part to be fixed to the bone, and the cutting edge part with the self-tapping function.

    The Biogenesis™ Implant System offers bone level implants in the size range of 3.8 – 5.5 mm diameter with 7 – 14.5mm length.

    The Biogenesis TM Implant System also offers the following components.

    • · Duplex Abutment
    • Duplex Milling Abutment
    • Simplex Abutment
    • Temporary Abutment
    • · Solid Screw Abutment
    • · Ball Abutment
    • Ball Cap

    The implants are intended for use with straight implant only straight implants are included in the submission.

    AI/ML Overview

    The provided text is a 510(k) summary for the Biogenesis™ Implant System - Kisses, a dental implant system. This document focuses on demonstrating substantial equivalence to predicate devices rather than proving the device meets specific performance acceptance criteria through the kind of studies you describe.

    Therefore, the requested information regarding acceptance criteria, reported device performance, sample sizes, data provenance, expert qualifications, adjudication methods, MRMC studies, standalone performance, and ground truth for training/test sets cannot be fully extracted from this document. This kind of detailed study information is typically found in the full submission, not in the public 510(k) summary.

    However, I can provide the limited information available regarding non-clinical testing and general acceptance of performance.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document states that "the test results met the pre-set criteria" for various performance tests. However, it does not explicitly list quantified acceptance criteria or specific numerical reported device performance values. It only confirms conformance.

    Acceptance Criteria (Implied)Reported Device Performance
    Sterilization ValidationMet pre-set criteria (according to ISO 17665-1/2 and ANSI/AANI ST79)
    Shelf Life TestingMet pre-set criteria (according to ASTM F1980)
    Biocompatibility TestingMet pre-set criteria (per ISO 10993-1)
    FDA Guidance ConformanceConformed to FDA Guidance Document for Endosseous Dental Implants and Abutments

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

    The document does not provide details on:

    • Specific sample sizes used for the non-clinical tests (e.g., sterilization, shelf life, biocompatibility).
    • Data provenance (e.g., country of origin, retrospective or prospective) for any test sets. Non-clinical studies like these are typically lab-based and not derived from clinical patient data in the same way clinical trials are.

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

    This information is not applicable to the non-clinical bench testing described. These tests involve laboratory measurements and standards conformance, not expert assessment of clinical data to establish ground truth.

    4. Adjudication Method for the Test Set

    This information is not applicable to the non-clinical bench testing described.

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

    No, an MRMC comparative effectiveness study was not done. The document focuses on demonstrating substantial equivalence through comparison of technical characteristics and non-clinical bench testing to predicate devices, not on evaluating human reader performance with or without AI assistance.

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

    No, a standalone (algorithm-only) performance study was not mentioned. The device is a physical dental implant system, not a software algorithm.

    7. The Type of Ground Truth Used

    For the non-clinical tests, the "ground truth" or reference points were established by recognized international and national standards:

    • ISO 17665-1/2 and ANSI/AANI ST79 for sterilization validation.
    • ASTM F1980 for shelf life testing.
    • ISO 10993-1 for biocompatibility testing.
    • FDA Guidance Document for Endosseous Dental Implants and Abutments for overall conformance.

    These standards define methods and acceptable limits for the performance characteristics being evaluated.

    8. The Sample Size for the Training Set

    This information is not applicable. This document describes a physical medical device (dental implant), not an AI/ML algorithm that would typically require a training set.

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

    This information is not applicable, as there is no mention of a training set for an AI/ML algorithm.

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