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510(k) Data Aggregation

    K Number
    K243482

    Validate with FDA (Live)

    Manufacturer
    Date Cleared
    2025-06-11

    (215 days)

    Product Code
    Regulation Number
    878.4816
    Reference & Predicate Devices
    Predicate For
    Why did this record match?
    Reference Devices :

    DEN240013

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

    The GI Windows FLEXAGON System is intended for use in the creation of side-to-side duodeno-ileal anastomoses in minimally invasive and laparoscopic surgery. Once wound strength is sufficient to maintain the anastomosis, the device is passed from the body. The effects of this device on weight loss were not studied. The GI Windows FLEXAGON is intended for use in adult patients > 21 years.

    Device Description

    The FLEXAGON device is a magnetic compression anastomosis system, which is a surgical device used for the creation of anastomoses in minimally invasive surgery in the gastrointestinal tract. The system is comprised of magnets and includes the delivery systems. Compression and necrosis of tissue between magnet devices is created by polar attraction of the magnet devices with subsequent healing of tissue around the devices. Once the anastomosis is formed the magnet device is expelled naturally in approximately 3-6 weeks.

    AI/ML Overview

    I am sorry, but the provided text is an FDA 510(k) clearance letter for a medical device (Self-Forming Magnet - Flexagon). While it discusses device performance and testing, it does not contain the specific details required to answer your full request about acceptance criteria and a study proving the device meets them, especially in the context of an AI/algorithm-based device.

    The information you are asking for, such as:

    1. A table of acceptance criteria and reported device performance for an AI/algorithm.
    2. Sample size and data provenance for a test set.
    3. Number of experts and their qualifications for ground truth establishment.
    4. Adjudication method.
    5. MRMC comparative effectiveness study results.
    6. Standalone (algorithm-only) performance.
    7. Type of ground truth used.
    8. Training set sample size.
    9. Ground truth establishment for the training set.

    These are all critical components of a regulatory submission for AI/Machine Learning-enabled medical devices. The provided document describes a physical medical device (magnetic compression anastomosis system) and its non-clinical and clinical testing, which focuses on aspects like biocompatibility, sterilization, mechanical properties, and animal/cadaver/human clinical use for a surgical procedure.

    The document explicitly states on page 10:
    "Software
    The Flexagon System does not contain software"

    Therefore, there is no AI/algorithm component to this device, and thus no data on AI acceptance criteria, training sets, test sets, expert adjudication, or MRMC studies for AI performance will be found in this document.

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    K Number
    K243359

    Validate with FDA (Live)

    Date Cleared
    2025-02-28

    (122 days)

    Product Code
    Regulation Number
    878.4816
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    Reference Devices :

    DEN240013

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

    The GT Metabolic MagDI™ System is intended for use in the creation of side-to-side duodeno-ileal anastomoses in minimally invasive and laparoscopic surgery. Once wound strength is sufficient to maintain the anastomosis, the device is passed from the body. The effects of this device on weight loss were not studied.

    The GT Metabolic MagDI System is intended for use in adult patients > 21 years.

    Device Description

    The set of two (2) Magnets is a sterile single-use device. The device provides a simple method for the creation of a round (oval/circular) compression anastomosis.

    After a period of 7-21 days, a compression-induced necrosis of the tissue between the Magnets occurs and the whole device, together with the necrosed tissue that was compressed by the Magnets, detaches, and is naturally expelled with the stool.

    AI/ML Overview

    The provided FDA 510(k) summary (K243359) describes the GT Metabolic MagDI System, a magnetic compression anastomosis system. However, it does not explicitly detail acceptance criteria in a structured table or provide information about a study proving the device meets specific acceptance criteria in the way a clinical trial endpoint analysis would. Instead, the document focuses on demonstrating substantial equivalence to a predicate device (K242086) through a summary of performance testing and clinical outcomes.

    Here's an attempt to extract the requested information based on the provided text, with explicit notes where information is not available:

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

    The document does not present explicit acceptance criteria in a table format with corresponding reported device performance values. It discusses performance testing in a narrative form to demonstrate substantial equivalence.

    Acceptance Criteria CategorySpecific Criteria (Implicit or Explicit in doc)Reported Device Performance (as described in the document)
    BiocompatibilityDevice materials are biocompatible."Biocompatibility testing demonstrated the device is biocompatible according to ISO 10993-1."
    Magnetic Field SafetyDistances from magnets are safe for patients and users with ferromagnetic implants/devices."Magnet field strength testing characterized the distances from the magnets are safe for patients and users with ferromagnetic implants, devices, or objects."
    Separation ForceMagnets maintain adequate separation forces over the use life."The Magnets maintain adequate separation forces over the use life."
    Delivery System FunctionMagnets connect and disconnect to the Delivery System over the use life."The Magnets connect and disconnect to the Delivery System over the use life."
    SterilityDevice has a Sterility Assurance Level (SAL) of $10^{-6}$ and maintains sterility through labeled shelf life."The MagDI System demonstrates a SAL of $10^{-6}$, a continued sterility through the labeled shelf life of the device, and conforms to ISO 11137-1, ISO 11137-2, and ISO 11137-3."
    Anastomosis CreationSuccessful placement with alignment and creation of patent anastomoses."The Magnets were successfully placed in all cases with alignment and created patent anastomoses confirmed by imaging."
    Device ExpulsionNatural expulsion of the device."The device was expelled naturally in most of the subjects reaching the one-month study visit." (One case removed via colonoscopy due to low bowel motility, but after creating a patent anastomosis and natural progression through the small bowel.)
    Adverse EventsLow incidence/severity of adverse events, particularly serious adverse events (SAE), and no specific anastomotic complications (bleeding, leakage, obstruction)."Most adverse events were of low grade, Clavien-Dindo Classification I-II and only one serious adverse event (SAE). No cases of internal hernia or bowel obstruction were reported. There were no cases of anastomotic bleeding, leakage, infection, or obstruction and no deaths." (The device performed "as least as safe as the predicate compression anastomosis device.")

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

    • Sample Size: The document states, "Clinical testing was conducted in obese patients with or without type 2 diabetes mellitus using the MagDI System for creation of a side-to-side duodeno-ileal anastomosis." It mentions "most of the subjects" for device expulsion but does not provide an explicit numerical sample size for the clinical study. It implies a single study for the clinical data.
    • Data Provenance: Not explicitly stated, but the submission is to the U.S. FDA, and a post-market surveillance study is planned for "U.S. patients, representative of the U.S. intended use population." This suggests the clinical data presented might be from the U.S. or a similar regulatory jurisdiction, but it's not confirmed. The study was prospective in nature, as it involved patients using the device.

    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 provided in the document. The "ground truth" (e.g., successful anastomosis, patency, adverse events) was likely established by the treating clinicians and study staff based on clinical observation, imaging, and patient outcomes, but the specific number and qualifications of independent experts for ground truth establishment are not mentioned.

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

    This information is not provided in the document.

    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

    • MRMC Study: No, an MRMC study was not conducted and is not mentioned.
    • Effect Size of AI assistance: Not applicable, as this device is a physical medical device (magnetic compression anastomosis system), not an AI-powered diagnostic or assistive tool.

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

    Not applicable, as this is a physical medical device, not a software algorithm.

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

    The ground truth for the clinical performance assessment appears to be based on:

    • Outcomes data: Successful placement, alignment, patent anastomoses confirmed by imaging, natural device expulsion, absence of specific adverse events (internal hernia, bowel obstruction, bleeding, leakage, infection, obstruction), and overall safety profile (Clavien-Dindo Classification for AEs).
    • Clinical observation and imaging: To confirm anastomoses patency and device expulsion.

    8. The sample size for the training set

    Not applicable. This is a physical device, not an AI/ML model that requires a training set. The clinical study described in the document served as performance verification for the device in humans.

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

    Not applicable, as this is a physical device and there is no "training set" in the context of AI/ML required.

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