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510(k) Data Aggregation

    K Number
    K023401

    Validate with FDA (Live)

    Date Cleared
    2003-02-11

    (125 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The EG-3830UT, Ultrasound Video Gastroscope, is intended to provide optical visualization of, ultrasonic visualization of, and therapeutic access to, the Upper Gastrointestinal Tract. The Upper Gastrointestinal Tract includes but is not restricted to, the organs; tissues; and subsystems: Esophagus, Stomach, Duodenum, Small Bowel, and underlying areas. The instrument is introduced per orally when indications consistent with the requirement for the procedure are observed in Adult and Pediatic patient populations.

    Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Endoscopy

    Device Description

    The EG-3830UT, Ultrasound Video Gastroscope, must be used with a Pentax Video Processor (software controlled device) and must be used with Ultrasound Scanner (software controlled device). The endoscope has a Flexible Insertion Tube, a Control Body, PVE Umbilical Connector, and Scanner Umbilical Connector. The PVE Connector connects to the Video Processor and has connections for illumination, video signals, air/water and suction. The Scanner Connected at the Ultrasound Scanner. The Control Body includes controls for up/ down/ left/ right angulation, air/water delivery, suction selection/ control, balloon insufflation, and an accessory inlet port. The device contains light carrying bundles to illuminate the body cavity, a charge couple device (CCD) to collect image data, and a radial array ultrasound transducer to collect ultrasonic image data. The instrument contains a working channel through which biopsy devices, may be introduced (the instrument is supplied with two biopsy forceps). The Video Processor contains a lamp that provides white light that is filtered, via a Red, Green, and Blue color filter wheel, and is focused at the PVE Connector Lightenide Prong. The endoscope light carrying bundles present the body cavity and the CCD collects image data for each strobe of color. The Video Processor stores the CCD information until all three color strobes are completed and a full color image frame is compiled. Image data and other screen display information are formatted and presented to the video outputs of the Video Processor for display. The ultrasound transducer delivers ultrasonic pulses, reflections of the pulses are received and signals are passed to the Ultrasound Scanner for display. The instrument is immersable (with the use of supplied cleaning accessories) except for the Ultrasound Scanner Connector (as described in the Endoscope operator Manual cleaning instructions).

    AI/ML Overview

    The provided document is a 510(k) summary for the PENTAX EG-3830UT Ultrasound Video Gastroscope, intended for use with the EUB-6000 and EUB-6500 Ultrasound Diagnostic Scanners. It details the device, its intended use, and a comparison to predicate devices, but does not contain information about acceptance criteria or a study proving that the device meets such criteria.

    The document states: "The submission for substantial equivalence was not based on an assessment of clinical performance data." This explicitly indicates that no clinical study was performed to assess the performance of the device against specific acceptance criteria.

    Therefore, the following information cannot be extracted from the provided text:

    1. A table of acceptance criteria and the reported device performance
    2. Sample size used for the test set and the data provenance
    3. Number of experts used to establish the ground truth for the test set and their qualifications
    4. Adjudication method for the test set
    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, or the effect size of human readers improving with AI vs without AI assistance
    6. If a standalone (algorithm only) performance study was done
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
    8. The sample size for the training set
    9. How the ground truth for the training set was established

    The document focuses on demonstrating substantial equivalence to legally marketed predicate devices based on specifications, components, and indications for use, rather than on new performance data against acceptance criteria.

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