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510(k) Data Aggregation

    K Number
    K250969
    Manufacturer
    Date Cleared
    2025-06-27

    (88 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Trade/Device Name: Jet Bite; Jet Blue Bite Fast; Jet Blue Bite Superfast
    Regulation Number: 21 CFR 872.3660
    Common Name | Impression material |
    | Classification Name | Material, Impression |
    | Regulation Number | 872.3660

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

    JET BITE & JET BLUE BITE are intended for the registration of occlusion in cases where relationship between the relative positions of maxilla and mandible is required.

    Device Description

    Jet Bite and Jet Blue Bite are two component impression materials based on vinylpolysiloxanes used for the registration of occlusion between the maxilla and mandible. Jet Bite and Jet Blue Bite are mixed during application and applied directly to the teeth, after which the mandible is moved into centric occlusion making an impression.

    AI/ML Overview

    The provided document (FDA 510(k) Clearance Letter - K250969) is for dental impression materials (Jet Bite; Jet Blue Bite Fast; Jet Blue Bite Superfast). Unfortunately, this document does not describe a study involving an AI/software device that requires intricate ground truth establishment, expert adjudication, or MRMC comparative effectiveness studies.

    The "Acceptance Criteria and Study" section in the document refers to performance testing for the physical properties of the impression material based on ISO 4823 standards, not an AI model's performance.

    Therefore, I cannot fulfill your request for an AI device's acceptance criteria and study details based on the provided text. The document focuses on the substantial equivalence of a physical dental impression material to a predicate device, as opposed to the validation of a software algorithm.

    If you have a document describing the validation of an AI/software device, I would be happy to analyze it against your request.

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    K Number
    K241924
    Date Cleared
    2024-12-27

    (179 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    325000 China

    Re: K241924

    Trade/Device Name: Elastic Impression Material Regulation Number: 21 CFR 872.3660
    Regulation Number: 21 CFR 872.3660 Product Code: ELW

    · Predicate Device:

    K133071 submitted by Rizhao

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

    An addition-cure vinyl polysiloxane dental impression material that is used for all crown and bridge, edentulous, orthodontic and implant impression techniques.

    Device Description

    The product is a kind of addition-cure silicon rubber impression material composed of vinyl polysiloxane and various fillers with neutral smell and applicable to impression in dentistry. This product is mainly composed of a matrix and a catalyst. The matrix is mainly composed of polydimethylsiloxane, vinyl silicone oil, methyl hydrogen polysiloxane, silica dioxide, ,calcium carbonate, and colorants. The catalyst is mainly composed of polydimethylsiloxane, silica dioxide, calcium carbonate, platinum catalyst, and colorants.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called "Elastic Impression Material." It details the comparison with a predicate device and includes information on testing performed.

    Here's an analysis to extract the requested information:

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

    The document references ISO 4823:2021 for device effectiveness. Without the full standard or more specific details from the submission, the exact acceptance criteria for each parameter as defined by ISO 4823 cannot be fully detailed here. However, the document states: "The product submitted for inspection adopts Type 0 type product. which is based on the requirements of the ISO4823 standard, which divides this product into 0, 1, 2 and 3 type products, and the difference between these 4 types is mainly in the difference of 'consistency' index, and its chemical properties and biological evaluation requirements are consistent, and the Type 0 silicone rubber with the largest consistency is fully representative."

    This implies that the device was evaluated against the requirements for a "Type 0" elastic impression material as per ISO 4823. The performance is reported as meeting these requirements, which leads to the conclusion of substantial equivalence.

    For Biocompatibility, the device was tested according to ISO 10993 standards. The acceptance criteria for these would be specific to each test (e.g., absence of irritation, cytotoxicity, sensitization). The reported performance is that the device "has been verified in accordance with the above FDA recognized standards."

    Acceptance CriteriaReported Device Performance
    Device Effectiveness (ISO 4823:2021)
    Consistency (for Type 0 product)The device adopts Type 0 product and is fully representative of Type 0 silicone rubber with the largest consistency, implying compliance with ISO 4823:2021 requirements for Type 0.
    Other chemical properties (as per ISO 4823)Consistent with predicate device and standard requirements.
    Other physical properties (as per ISO 4823)Consistent with predicate device and standard requirements.
    Biocompatibility (ISO 10993)
    Irritation (ISO 10993-23:2021)Verified in accordance with the standard.
    Cytotoxicity (ISO 10993-5:2009)Verified in accordance with the standard.
    Skin Sensitization (ISO 10993-10:2021)Verified in accordance with the standard.

    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 explicitly state the sample sizes used for the non-clinical tests (ISO 4823 or ISO 10993). It only mentions that the device "was tested." The data provenance is not specified beyond the fact that the tests were conducted for Beijing OKVD Biological Technology Ltd. in China. Given these are physical/chemical and biocompatibility tests, they are typically conducted in a laboratory setting, not on patient data. No clinical tests were performed, so concepts like retrospective/prospective clinical data do not apply.

    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 question is not applicable. The evaluations performed are non-clinical (device effectiveness and biocompatibility) and rely on objective measurements against ISO standards. There is no "ground truth" established by experts in the context of clinical interpretation for this type of device.

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

    This question is not applicable as there is no clinical data or expert review process described for the test set.

    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 comparative effectiveness study was done. This device is an impression material, not an AI software or a device that requires human interpretation of outputs.

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

    This question is not applicable. The device is a physical impression material, not an algorithm.

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

    For device effectiveness (ISO 4823) and biocompatibility (ISO 10993): The "ground truth" is established by the specified requirements and test methodologies within the internationally recognized ISO standards themselves. These standards prescribe objective measurements and criteria, rather than subjective expert consensus or pathology.

    8. The sample size for the training set

    This question is not applicable. The device is a physical impression material, not an algorithm that requires a training set.

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

    This question is not applicable. The device is a physical impression material, not an algorithm that requires a training set.

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    K Number
    K242360
    Manufacturer
    Date Cleared
    2024-11-15

    (98 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Speedex Medium; Speedex Putty; Speedex Putty Soft; Speedex Universal Activator Regulation Number: 21 CFR 872.3660
    | 872.3660

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

    Speedex putty/putty soft

    • Primary impression in the putty-wash Impression technique
    • Pick-up impression in the simultaneous mixing technique
    • Impressions for study models, orthodontic models, keys and protective isolation of teeth during fitting of prostheses
      Speedex light body
    • Correction material for the correction impression technique
    • Syringe material for the two-phase impression technique
    • Impression material for relining
      Speedex medium
    • Complete and partial prosthetics, correction material for the correction impression technique
    • Monophase impression technique, simultaneous mixing technique
    • Liner impression material
      Speedex Universal Activator
    • Activator for Speedex putty soft; Speedex light body; Speedex medium, for creating dental impressions
    Device Description

    Speedex is two-component impression material based on polysiloxanes. Speedex is intended for the recording of the current physical situation in a patient's mouth for the purpose of repairing, reshaping or replacing the patient's teeth. After mixing of a base and activator, the Speedex Materials form pastes which are used individually or in combination as antal impression material, usually together with a standard commerical or individual impression tray, using conventional impression techniques.

    AI/ML Overview

    The provided text is a 510(k) premarket notification letter and summary for a dental impression material named "Speedex." This document does not describe an AI/ML-based medical device. Therefore, a study proving an AI device meets acceptance criteria, an MRMC study, or information about training and test sets for an algorithm, as requested in the prompt, are not applicable and not present in the provided text.

    The document discusses the substantial equivalence of the Speedex dental impression material to a legally marketed predicate device ("PRESIDENT The Original"). Acceptance criteria and performance are outlined in the context of non-clinical performance testing for material properties, rather than AI/ML model performance.

    Here's an analysis of the provided information relevant to the material's acceptance criteria and study, as much as possible given the context:

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

    The document states: "Performance testing as was conducted to verify that the device complies with the requirements of ISO 4823:2021, and the same testing was carried out on the predicate device to help establish substantial equivalence. These tests include consistency, working time, detail reproduction, linear dimensional change, compatibility with gypsum, elastic recovery, and strain in compression."

    While the specific numerical acceptance criteria and reported performance values are not explicitly provided in tables, the document implies that the Speedex device met the requirements of ISO 4823:2021 for these properties. The "Summary & Conclusions" section states: "Based on the non-clinical performance data, the proposed device Speedex is as safe, as effective and performs as well as the predicate Device PRESIDENT the Original." This statement confirms that the device did meet its performance requirements to demonstrate substantial equivalence.

    As the exact table is not in the text, it cannot be constructed, but the types of criteria are listed.

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

    For non-clinical performance testing of a material, "sample size" typically refers to the number of specimens tested for each property (e.g., number of impression material samples tested for linear dimensional change). This information is not provided in the document.

    Data provenance (country of origin, retrospective/prospective) is not applicable in the context of material property testing as described.

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

    This concept is not applicable as the testing is for fundamental material properties against an ISO standard, not for medical image interpretation or diagnostic performance involving expert consensus.

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

    This is not applicable for material property testing.

    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:

    This is not applicable as the device is a dental impression material, not an AI-based diagnostic tool.

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

    This is not applicable as the device is a dental impression material, not an AI algorithm.

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

    The "ground truth" for this device's performance is compliance with ISO 4823:2021 standards for dental impression materials, and comparison to the predicate device's performance for substantial equivalence. No patient outcomes data or expert consensus on a diagnostic task is used.

    8. The sample size for the training set:

    This concept is not applicable as this is a physical material, not an AI model requiring a training set.

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

    This is not applicable as this is a physical material, not an AI model.

    In summary, the provided document pertains to a traditional medical device (dental impression material) and its non-clinical performance testing against an international standard (ISO 4823:2021) to establish substantial equivalence. The detailed questions about AI/ML acceptance criteria, ground truth, and study designs for AI (like MRMC or standalone performance) are not relevant to this type of device and thus not present in the text.

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    K Number
    K233954
    Date Cleared
    2024-02-13

    (60 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    K233954

    Trade/Device Name: Chemi-SiL (HB, MB, LB, LBS) and Chemi-SiL Bite-Blu Regulation Number: 21 CFR 872.3660
    ·Common Name: Impression Material

    ·Classification Name: Material, Impression

    ·Regulation Number: 872.3660

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

    Chemi-SiL (HB, MB, LB, LBS) - Crown and bridge impression, inlay and onlay impressions

    Chemi-SiL Bite-Blu - Impression of the occlusal surface

    Device Description

    Chemi-SiL of silicone impression materials are hydrophilic impression materials based on polyvinylsiloxane and it is used for impression of teeth or gingiva. It consists of three different consistencies (heavy body, light body, bite registration material) according to ISO 4823. And it is supplied base and catalyst in contrasting color. Each product is consisted of 1:1 base and catalyst component, packaged in two 50 mL catridges.

    AI/ML Overview

    This document is a 510(k) Premarket Notification from B&E Korea Co., Ltd. for their dental impression materials, Chemi-SiL (HB, MB, LB, LBS) and Chemi-SiL Bite-Blu. The key focus of this notification is to demonstrate substantial equivalence to previously cleared predicate devices.

    Acceptance Criteria and Device Performance:

    The primary method for demonstrating acceptance criteria and performance is through non-clinical testing based on recognized international standards, specifically ISO 4823 for impression materials and ISO 10993 for biocompatibility. The acceptance criteria are the performance requirements specified by these standards and the reported values of the predicate devices. The device performance is the measured performance of the Chemi-SiL products.

    Here's a table summarizing the acceptance criteria (defined by ISO standards and predicate device performance) and the reported device performance for Chemi-SiL. Note that the document compares the subject devices to two different predicate devices based on their specific uses.

    1. Table of Acceptance Criteria and Reported Device Performance

    Performance MetricAcceptance Criteria (ISO Standard / Predicate Device)Reported Device Performance (Chemi-SiL)Discussion/Justification (from document)
    For Chemi-SiL (HB, MB, LB, LBS) vs. Vonflex STM (K152615)
    Working timeVonflex STM: 2'15" (Heavy, normal); 1'30" (Heavy, Fast); 2'30" (Light, normal); 1'30" (Light, Fast)
    [ISO 4823:2021 7.3] suggested value of the manufacturerChemi-SiL: MB: 90 s; HB: (No explicit value given, implied to be comparable to "Fast"); LB: 90 s; LBS: (No explicit value given, implied to be comparable to "Fast")Equivalent
    Setting reaction timeVonflex STM: 4'00" (Heavy, normal); 2'30" (Heavy, Fast); 4'00" (Light, normal); 2'30" (Light, Fast)Chemi-SiL: MB: 210 s; HB: (N/A, implied to be comparable to "Fast"); LB: 210 s; LBS: (N/A, implied to be comparable to "Fast")Equivalent
    ConsistencyVonflex STM: 34.76 mm (Heavy, normal); 34.78 mm (Heavy, Fast); 43.43 mm (Light, normal); 42.02 mm (Light, Fast)
    [ISO 4823:2021 7.2] = 36 mm (Light)Chemi-SiL: MB: 32.75 mm; HB: (N/A); LB: 48.83 mm; LBS: (N/A)Equivalent. All values meet the ISO criteria.
    Compatibility with gypsumVonflex STM: Reproduced for 0.05 mm
    [ISO 4823:2021 7.6] 50 µm should be reproduced without interruption.Chemi-SiL: Reproduced for 0.05 mmEquivalent. Both conform to the standard.
    Strain in compressionVonflex STM: 2.56 % (Heavy, normal); 2.38 % (Heavy, Fast); 7.71 % (Light, normal); 5.24 % (Light, Fast)
    [ISO 4823:2021 7.8] 0.820 % (Heavy), 2.020 % (Light)Chemi-SiL: MB: 1.2 %; HB: (N/A); LB: 3.1 %; LBS: (N/A)Similar. Both conform to the standard. Chemi-SiL values fall within or are superior to the predicate and standard ranges.
    Linear Dimensional ChangeVonflex STM: 0.11 % (Heavy, normal); 0.07 % (Heavy, Fast); 0.08 % (Light, normal); 0.09 % (Light, Fast)
    [ISO 4823:2021 7.5]
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    K Number
    K223892
    Date Cleared
    2023-04-27

    (120 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    California 92346

    Re: K223892

    Trade/Device Name: DentMix VPS Impression Material Regulation Number: 21 CFR 872.3660
    Classification: Class II Classification Product Code: ELW Classification Name: Material, Impression, per 21 CFR 872.3660

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

    DentMix VPS Impression Material is intended for use with all crown and bridge, occlusal and implant impression techniques to reproduce the structure of a patient's teeth and gums.

    Device Description

    DentMix VPS Impression Material is an addition-reaction base/catalyst polyviny/siloxane dental impression material intended as an alternative to traditional alginate materials. It is available in regular set and fast set. Both are available in light body, regular body/monophase and heavy body.

    AI/ML Overview

    The provided document describes the substantial equivalence determination for the "DentMix VPS Impression Material" (K223892) by comparing it to a predicate device, "Elements™" (K151150). The acceptance criteria are based on meeting or exceeding the performance of the predicate device across various physical properties, typically measured against recognized standards like ISO 4823-2015.

    Here's the breakdown of the information requested:

    Acceptance Criteria and Device Performance

    A direct table of "acceptance criteria" is not explicitly stated as distinct from the predicate device's performance. Instead, the study aims to show that the subject device performs at least as well as the predicate device. Therefore, the predicate device's performance serves as the de facto acceptance benchmark.

    Acceptance Criteria (Predicate Performance)Reported Device Performance (DentMix VPS Impression Material)
    Consistency
    Heavy Body: 31mmHeavy Body: 32mm
    Monophase: 35mmMonophase: 35mm
    Light Body: 39mmLight Body: 40mm
    Working Time (Regular Set)
    Heavy Body: 2'30"Heavy Body: 2'34"
    Monophase: 2'30"Monophase: 2'12"
    Light Body: 2'30"Light Body: 2'37"
    Working Time (Fast Set)
    Heavy Body: 1'30"Heavy Body: 1'16"
    Monophase: 1'30"Monophase: 1'23"
    Light Body: 1'30"Light Body: 1'21"
    Detail ReproductionPASS
    Linear Dimensional Change
    Heavy Body: 0.14% (0.01)Heavy Body: 0.14% (0.01)
    Monophase: 0.05% (0.02)Monophase: 0.05% (0.02)
    Light Body: 0.08% (0.02)Light Body: 0.08% (0.02)
    Compatibility with GypsumPASS
    Elastic Recovery
    Heavy Body: 99.7 (0.1)Heavy Body: 99.1 (0.2)
    Monophase: 99.6 (0.3)Monophase: 99.1 (0.3)
    Light Body: 99.8 (0.1)Light Body: 98.9 (0.1)
    Strain-In-Compression
    Heavy Body: 2.85 (0.1)Heavy Body: 2.54 (0.8)
    Monophase: 3.67 (0.13)Monophase: 3.61 (0.4)
    Light Body: 4.93 (0.1)Light Body: 5.91 (1.6)

    Note on "Acceptance Criteria": For each of these properties, the acceptance criterion implicitly is that the DentMix VPS Impression Material is functionally equivalent to or performs within an acceptable range compared to the predicate device, often guided by the ISO 4823-2015 standard. "PASS" explicitly indicates meeting a standard. For numerical values, the goal is typically to be similar or better.

    Study Details for DentMix VPS Impression Material

    The document outlines a comparison study to demonstrate substantial equivalence, primarily focusing on physical properties.

    1. Sample size used for the test set and the data provenance:

      • The document does not explicitly state the numerical "sample size" for each test point (e.g., number of specimens tested for consistency, working time, etc.). However, the values reported for "Linear Dimensional Change," "Elastic Recovery," and "Strain-In-Compression" include standard deviations (e.g., "0.14% (0.01)"), which implies that multiple measurements were taken to calculate an average and variability.
      • Data Provenance: The document does not specify the country of origin of the data or whether it was retrospective or prospective. It presents the results as part of a 510(k) submission by IPB Inc.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • This type of detail (number and qualifications of experts) is typically associated with clinical studies or studies where human interpretation or consensus is required (e.g., image analysis). For material property testing as performed here, the "ground truth" is established by direct measurement of physical properties according to standardized test methods (e.g., those described in ISO 4823-2015). Experts in material science or dentistry might design and oversee these tests, but their "consensus" is not the ground truth in the same way it would be for diagnosing a medical image.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

      • Adjudication methods (e.g., 2+1) are relevant for studies involving human interpretation and potential disagreement (e.g., reading medical images). For physical property testing of dental impression materials, direct measurements are taken, and typically, there is no "adjudication" in this sense. Quality control and adherence to standard protocols ensure reliability.
    4. 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, an MRMC comparative effectiveness study was not done. This type of study is completely irrelevant for evaluating a dental impression material, as it's a diagnostic tool comparison for medical imaging interpretation, not a material property evaluation.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

      • This question is also not applicable. The device is a physical dental impression material, not an algorithm or AI system. The performance evaluated is the inherent physical properties of the material itself.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • The "ground truth" for the performance evaluation in this context is the results of standardized physical property tests as defined by recognized standards (specifically ISO 4823-2015). This is a direct measurement of material characteristics against objective criteria, not based on human consensus, pathology, or outcomes data.
    7. The sample size for the training set:

      • This concept is not applicable. The evaluation is a direct comparison of physical material properties against a predicate, not a machine learning model that requires a "training set."
    8. How the ground truth for the training set was established:

      • Not applicable, as there is no training set for this type of device evaluation.
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    K Number
    K213175
    Date Cleared
    2023-01-19

    (478 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    , North Carolina 28409

    Re: K213175

    Trade/Device Name: No Stress Impress Regulation Number: 21 CFR 872.3660
    Common Name
    Classification
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    No Stress Impress is intended for use as a rebasing and relining impression material as well as for general impressions including but not limited to dentures, root surfaces, and posts.

    Device Description

    No Stress Impress is a thermoplastic impression material available for full or partial impressions that comes as a stick or wafer.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the "No Stress Impress" device, broken down as requested.

    The document is a 510(k) Summary for a dental impression material. As such, the "acceptance criteria" are mainly focused on product performance standards and biocompatibility, rather than clinical efficacy metrics typical of AI/software devices. The "study" refers to the testing performed to demonstrate compliance with these standards.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Standard / Test)Reported Device Performance (Results)
    Material testing per ISO 4823:2015, 7.8 Dentistry Elastomeric MaterialSatisfactory results
    Biocompatibility Testing:
    ISO Oral Mucosal Irritation Study in Hamsters - Collar Method - 24 hoursNon-irritating
    ISO Guinea Pig Maximization Sensitization TestNon-sensitizing
    Cytotoxicity Study Using the ISO Elution MethodNo lysis, no reactivity, no pH shift
    Cytotoxicity Study Using the ISO Agarose Overlay MethodNo lysis, no reactivity

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

    The document does not specify sample sizes for the material testing per ISO 4823:2015.
    For biocompatibility testing, the following "sample sizes" are implied by the test names, but precise numerical counts of animals/cells are not given:

    • Hamsters (for Oral Mucosal Irritation Study)
    • Guinea Pigs (for Sensitization Test)
    • Cell cultures (for Cytotoxicity Studies)

    The data provenance (e.g., country of origin, retrospective/prospective) for these tests is not specified in the provided text.

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

    This type of information is not applicable to the "No Stress Impress" device as described in this 510(k) summary. The device is a material, not an AI or diagnostic tool that requires expert interpretation for ground truth establishment. The ground truth for material properties is established by adherence to international standards (e.g., ISO) and laboratory test results.

    4. Adjudication Method for the Test Set

    This information is not applicable as the device is a material, not a diagnostic or AI device that requires adjudication of expert opinions. The "ground truth" for material properties is determined by the specific outcomes of the standardized tests.

    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

    This information is not applicable to the "No Stress Impress" device. This is a material, not an AI-assisted diagnostic tool.

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

    This information is not applicable to the "No Stress Impress" device. It is a material, not an algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for this device is based on:

    • Material properties and performance standards: Compliance with ISO 4823:2015 for dentistry elastomeric material.
    • Biocompatibility test results: Specific empirical outcomes from standardized biological assays (irritation, sensitization, cytotoxicity) conducted according to ISO 10993-1.

    8. The Sample Size for the Training Set

    This information is not applicable to this device. As a dental impression material, there is no "training set" in the context of machine learning or AI.

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

    This information is not applicable to this device for the reasons stated above.

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    K Number
    K214086
    Manufacturer
    Date Cleared
    2022-12-15

    (353 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Impress-Medium, Bright Impress-Heavy, Bright Impress-Bite, Bright Impress-Putty Regulation Number: 21 CFR 872.3660

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

    Impression of inlay, onlay crown, and bridge preparation

    • Crown, bridge impression
    • Inlay and onlay impression
    • Functional impression
    • Denture impression
    • Study model impression
    Device Description

    Bright Impress impression material is a fast-set of addition-reaction silicone elastomer (Vinyl polysiloxane)-based material for dental professionals, consisting of five types (Light, Medium, Heavy, Bite and Putty) with superior hydrophilicity, dimensional accuracy, high tensile strength, and resistant to deformation. It is designed for versatile impression techniques of crowns, bridges, orthodontics and implants.

    AI/ML Overview

    The document is a 510(k) Summary for the dental impression material "Bright Impress" by Genoss Co., Ltd. It compares the characteristics of Bright Impress to a predicate device, HySil Impression Materials, and presents performance and biocompatibility data.

    Here's an analysis of the provided information regarding acceptance criteria and the study that proves the device meets them:

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

    The document provides extensive tables for both biocompatibility and performance for each variant of "Bright Impress" (Light, Medium, Heavy, Putty, Bite). I will consolidate and present a representative sample, focusing on the "Performance Data" which directly addresses how the device meets physical/mechanical acceptance criteria. The "Biocompatibility Data" also uses "Acceptance Criteria" and "P/F" (Pass/Fail) results.

    Comprehensive Table of Acceptance Criteria and Reported Device Performance

    CategoryItemAcceptance CriteriaReported Performance (Bright Impress - Light)Reported Performance (Bright Impress - Medium)Reported Performance (Bright Impress - Heavy)Reported Performance (Bright Impress - Putty)Reported Performance (Bright Impress - Bite)
    Biocompatibility (All variants)
    CytotoxicityNone cytotoxicityPassPassPassPassPassPass
    SensitizationNone sensitizationPassPassPassPassPassPass
    Irritation/ Intracutaneous ReactivityNone irritation/intracutaneous reactivityPassPassPassPassPassPass
    Systemic Toxicity (acute)None systemic toxicityPassPassPassNot reported for HeavyPassPass
    Oral Mucosa IrritationNone irritation (Heavy)PassNot reported for Light/Medium/Putty/BiteNot reported for Light/Medium/Putty/BitePassNot reported for Light/Medium/Putty/BiteNot reported for Light/Medium/Putty/Bite
    Performance
    VisualNo substance materialPassPassPassPassPassPass
    Volume/CapacitySize error of Standard Size
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    K Number
    K222741
    Manufacturer
    Date Cleared
    2022-11-07

    (59 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    Regular, Fast), DENU Heavy Body(Regular, Fast), DENU Putty Set(Regular, Fast) Regulation Number: 21 CFR 872.3660
    Regular, Fast) DENU Putty Set(Regular, Fast)

    ·Common Name: Impression Material

    · Regulation Number 872.3660

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

    DENU Light Body(Regular, Fast) / DENU Heavy Body(Regular, Fast)

    • Crown and bridge impression
    • Inlay and onlay impression
    • Denture impression
    • Model impression

    DENU Putty Set(Regular, Fast)

    • Crown and bridge impression
    • Inlay and onlay impression
    Device Description

    The DENU family of silicone impression materials consists of three different viscosities (light body, heavy body, putty) for various application systems. Products are further classified into Regular type and Fast type, depending on curing time, but there is no difference on viscosity, indications for use, or scope of use. Each device is consisted of 1:1 base and catalyst component, packaged in 560mL jars for DENU Putty set and 50mL syringes for other devices.

    AI/ML Overview

    This is a 510(k) premarket notification for a dental impression material, DENU Light Body (Regular, Fast), DENU Heavy Body (Regular, Fast), and DENU Putty Set (Regular, Fast). The submission aims to demonstrate substantial equivalence to legally marketed predicate devices.

    Here's an analysis of the acceptance criteria and supporting study information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are primarily derived from the international standard ISO 4823:2021 (Dentistry - Elastomeric impression materials) and the device's performance is compared to these standards and the predicate devices.

    Performance CharacteristicAcceptance Criteria (from ISO 4823:2021 or Predicate)DENU Light Body (Regular, Fast) Reported PerformanceDENU Heavy Body (Regular, Fast) Reported PerformanceDENU Putty Set (Regular, Fast) Reported PerformancePerformance Conclusion
    Working TimeSpecified by manufacturer or within predicate's range (e.g., 1'30" - 2'30" for light body)Light Body, Regular: 1'30"Heavy Body, Regular: 1'30"Putty Set Regular: 1'30"Equivalent / Similar (conforms to standard)
    Light Body, Fast: 1'30"Heavy Body, Fast: 1'30"Putty Set Fast: 1'30"Equivalent / Similar (conforms to standard)
    Setting Reaction TimeSpecified by manufacturer or within predicate's range (e.g., 2'30" - 4'00" for light body)Light Body, Regular: 4'10"Heavy Body, Regular: 4'10"Not directly reported (comparison to predicate shows equivalence)Equivalent
    Light Body, Fast: 2'40"Heavy Body, Fast: 2'40"Equivalent
    Consistency / FlowLight Body: >= 36 mm (ISO 4823:2021 7.2)Light Body, Regular: 39.18 mmEquivalent
    Light Body, Fast: 36.16 mmEquivalent
    Heavy Body:
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    Why did this record match?
    510k Summary Text (Full-text Search) :

    Fast Set, Accusil Putty Regular and Fast Set, Accusil Bite Registration) Regulation Number: 21 CFR 872.3660
    Registration)

    Common name: impression material Classification Name: impression material CFR: 21 CFR 872.3660
    | 872.3660
    | 872.3660
    | 872.3660

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

    Accusil Dental Impression Material is intended to be placed on a preformed impression tray and used to reproduce the structure of a patient's teeth and gums.

    Device Description

    Accusil Dental Impression Materials are designed for dental applications to define and reproduce the structure of a patient's teeth and gums for producing crowns, bridges, occlusal models and dental implant restorative devices. Base and catalyst components are mixed in an equal ratio 1:1, placed into an impression tray and inserted into the patient's mouth. The material will conform to the patient's dentition and when set will produce a reproduction of the patient's teeth and occlusion.

    AI/ML Overview

    The document describes the acceptance criteria and performance of Accusil Dental Impression Materials as part of a 510(k) premarket notification for FDA clearance.

    Here's an analysis of the provided information, structured according to your request:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document indicates that Accusil Dental Impression Materials were tested against specific ISO standards (ISO 4823 and ISO 48-4) and internal protocols. The "Acceptance Criteria" are implicitly derived from the requirements of these standards. The "Reported Device Performance" for Accusil is provided in the comparative table with predicate and reference devices.

    Performance CharacteristicAccusil Dental Impression Materials (Reported Performance)Acceptance Criteria (Implicit from ISO standards and comparison with predicate/references)
    Working/Processing Time40-150 secSimilar to predicate (90 sec) and reference devices (35-120 sec).
    Setting time/Time in the mouth60-300 secSimilar to predicate (90 sec) and reference devices (120-330 sec).
    Hardness63-70 Shore ASimilar to predicate (46-70 Shore A) and reference devices (42-75 Shore A).
    Working Humidity50%Matches predicate (50%).
    Dimensional Accuracy99.9%-99.2%Similar to predicate (99.9%-99.2%) and reference devices (98%-99.9%).
    Stability (Linear Dimensional Change)
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    K Number
    K221668
    Date Cleared
    2022-08-08

    (61 days)

    Product Code
    Regulation Number
    872.3660
    Reference & Predicate Devices
    Why did this record match?
    510k Summary Text (Full-text Search) :

    200122 China

    Re: K221668

    Trade/Device Name: Dental Impression Material Regulation Number: 21 CFR 872.3660
    Classification Name: Material, Impression Classification: Class II Product code: ELW Regulation Number: 21 CFR 872.3660
    Classification Name: Material, Impression Classification: Class II Product code: ELW Regulation Number: 21 CFR 872.3660
    | Same |
    | Classification | Class II Device, ELW (21 CFR 872.3660
    | Class II Device, ELW (21 CFR 872.3660

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

    The Dental Impression Material is intended for use with all crowns, bridges, and orthodontic impression techniques to reproduce the structure of a patient's teeth and gums.

    Device Description

    The Dental Impression Material is a kind of addition-cure rubber impression material composed of vinyl polysiloxane and various fillers, with neutral smell and applicable to impression in dentistry.

    The Dental Impression Material is very easy to mix and has good dimensional stability which helps to make precise impression taking.

    AI/ML Overview

    The information provided describes the acceptance criteria and performance of the Dental Impression Material by Chemoment Materials Co.,ltd, as detailed in the 510(k) summary K221668.

    Here's a breakdown of the requested information:

    1. Table of acceptance criteria and the reported device performance

    ItemProposed deviceAcceptance criteria (Type 0)Result
    Consistency31.8mm≤35mmPass
    Compatibility with gypsumComplied75μmPass
    Detail reproductionComplied75μmPass
    Linear dimensional change0.798%≤1.5%Pass
    Elastic recovery97.718%≥96.5%Pass
    Strain in compression5.44%0.8~20%Pass

    2. Sample size used for the test set and the data provenance

    The document does not specify the exact sample size for each performance test. It states that "Non-clinical tests were conducted to verify that the proposed device met all design specifications as same or similar to the predicate device." These tests were conducted according to ISO standards (ISO 10993-05, ISO 10993-10, and ISO 4823:2021). The data provenance is not explicitly mentioned but is implied to be from laboratory testing performed by or for Chemoment Materials Co.,ltd as part of their regulatory submission. The tests are non-clinical, meaning they don't involve human subjects, and are therefore not classified as retrospective or prospective human data.

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

    This information is not applicable. The device's performance was evaluated against established engineering and material science standards (ISO standards), not against a ground truth established by medical experts for diagnostic purposes.

    4. Adjudication method for the test set

    This information is not applicable as the tests are objective measurements against established standards, not subjective assessments requiring expert adjudication.

    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 such study was conducted. This device is a material (dental impression material), not an AI-powered diagnostic or assistive tool for human readers.

    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 material, not an algorithm.

    7. The type of ground truth used

    The "ground truth" for the device's performance is defined by the objective pass/fail criteria set forth in the international standards ISO 4823:2021, and the biocompatibility standards ISO 10993-05:2009 and ISO 10993-10:2010. These standards provide specific measurable parameters for acceptable performance for dental impression materials.

    8. The sample size for the training set

    This is not applicable. The product is a material, not a machine learning algorithm that requires a training set.

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

    This is not applicable as there is no training set for this type of device.

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