(64 days)
KSH-4 Kronner Low Profile Scope Holder: For abdominal and thoracic endoscopic surgical procedures
HPL2-CRL High pressure* Gas Line Set: For abdominal and thoracic endoscopic and arthroscopic surgical procedures
KSHSA-3 Standard Arm Assembly: For abdominal and thoracic endoscopic surgical procedures
C-1 Control: For abdominal, thoracic, arthroscopic, endoscopic surgery and holding manual surgical instruments
ECB-2 Electronic Control Box: For abdominal, thoracic, arthroscopic, nasal endoscopic surgical procedures and holding manual surgical instruments
GLW-1 Gas line wrench: For abdominal, thoracic, arthroscopic, nasal endoscopic surgical procedures and holding manual surgical instruments
SEAH-1 Small Endoscope Accessory with Handle: For nasal endoscopic surgical procedures
HPL1-BL1-CRL High pressure* Branched Gas Line Set: For nasal endoscopic surgical procedures and holding manual surgical instruments
- Tolerates pressures to 150 PSI, do not use with pressures over 150 psi.
The Kronner Low Profile Scope Holder with Electronic Control and Control Box is the same as the Kronner Low Profile Scope Holder (K973543) with mechanical control except that it has an electronic control, momentary button, and electronic control box with solenoids to control gas output.
This document is an FDA 510(k) summary for the Kronner Low Profile Scope Holder and accessories. It's a premarket notification, which means it asserts that the device is substantially equivalent to a legally marketed predicate device, rather than providing or requiring new clinical studies to prove effectiveness. Therefore, the information requested about acceptance criteria, detailed study results, sample sizes, expert ground truth, adjudication methods, MRMC studies, or standalone performance studies is not typically found in this type of submission.
Here's an analysis based on the provided text:
1. Table of acceptance criteria and the reported device performance
- Acceptance Criteria: Not explicitly stated as performance metrics in this 510(k) summary. The primary "acceptance criteria" for a 510(k) is demonstrating substantial equivalence to a predicate device.
- Reported Device Performance: The document does not contain quantitative performance data or traditional clinical study results with metrics like sensitivity, specificity, accuracy, etc. It focuses on functional descriptions and comparison to a predicate device.
2. Sample sized used for the test set and the data provenance
- Not applicable. This 510(k) relies on establishing substantial equivalence to a predicate device (K973543), not on a new clinical test set.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts
- Not applicable. Ground truth for a test set is not established in this type of submission.
4. Adjudication method for the test set
- Not applicable. No test set requiring adjudication is mentioned.
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 study was done. This device is not an AI-assisted diagnostic tool for human readers; it's a mechanical surgical instrument holder.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
- Not applicable. This device is a physical instrument holder, not an algorithm.
7. The type of ground truth used
- Not applicable. No ground truth in the context of diagnostic accuracy is established or used for this submission. The "ground truth" for a 510(k) is the safety and effectiveness of the legally marketed predicate device to which substantial equivalence is claimed.
8. The sample size for the training set
- Not applicable. This device does not involve a training set as it is not an AI/ML algorithm.
9. How the ground truth for the training set was established
- Not applicable. This device does not involve a training set.
Summary based on the document:
The document describes a 510(k) premarket notification for the "Kronner Low Profile Scope Holder" and associated accessories. The core of the submission is to demonstrate substantial equivalence to a previously cleared predicate device (K973543).
- Device Description: The device is an endoscope holder with various components like control mechanisms, gas line sets, and arm assemblies for different surgical procedures (abdominal, thoracic, arthroscopic, nasal endoscopic, and for holding manual surgical instruments). The newly introduced device (K000663) is an electronic version, replacing the mechanical control of the predicate (K973543) with an electronic control and control box with solenoids for gas output.
- Proof of Equivalence: The document explicitly states: "The Kronner Low Profile Scope Holder with Electronic control and Electronic Control Box is essentially equivalent to the Kronner Low Profile Scope Holder (K973543) except that the mechanical control has been replaced with an electronic control and electronic control box with solenoids to control gas output." This is the primary "study" or justification for its clearance under the 510(k) pathway.
- Acceptance Criteria for 510(k): The implied acceptance criteria for this 510(k) filing is that the modified device (with electronic control) does not raise new questions of safety and effectiveness compared to the predicate device (K973543) and shares the same intended use and similar technological characteristics. The FDA's letter (page 1) confirms that the FDA "determined the device is substantially equivalent... to legally marketed predicate devices."
Therefore, this document does not contain the kind of detailed performance study data requested as it pertains to a different regulatory pathway (510(k) substantial equivalence rather than a PMA or De Novo with new clinical data).
§ 876.1500 Endoscope and accessories.
(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.