(16 days)
The EG-3670URK, 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 pediatric patient populations.
The EG-3670URK, 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 Connector is connected at the Ultrasound Scanner. The Control Body includes controls for up/ down/ left/ right angulation, air/water delivery, suction selection/ control, balloon injection/ evacuation, 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 Video Processor contains a lamp that provides white light that is focused at the PVE Connector Lightguide Prong. The endoscope light carrying bundles present the light to the body cavity and the CCD collects image data. 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 as described in the Endoscope operator Manual cleaning instructions).
This is an interesting case where the provided document is a 510(k) summary for a medical device, but it explicitly states that the submission for substantial equivalence was not based on an assessment of clinical performance data. Instead, it relied on a comparison of specifications and standard components to predicate devices. Therefore, the device was cleared without a study demonstrating that it meets specific acceptance criteria based on performance metrics such as accuracy, sensitivity, or specificity.
As a result, I cannot provide the information requested in your prompt regarding acceptance criteria and a study proving the device meets them, because such a study was not performed or submitted for this particular 510(k) clearance.
Here's a breakdown of what can be extracted from the document in relation to your request, and why other parts cannot be answered:
1. A table of acceptance criteria and the reported device performance
- Cannot be provided. The 510(k) summary explicitly states: "The submission for substantial equivalence was not based on an assessment of clinical, performance, data." Therefore, there are no reported device performance metrics against acceptance criteria related to clinical efficacy or diagnostic accuracy. The substantial equivalence was based on a comparison to predicate devices, implying that if the new device is sufficiently similar to an already cleared device, it is considered safe and effective for its intended use without new performance data.
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Cannot be provided. No test set data was used because no study assessing clinical or performance data was conducted for this 510(k) submission.
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)
- Cannot be provided. As no test set was used, no ground truth was established by experts for performance evaluation.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
- Cannot be provided. No test set, no adjudication method.
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
- Cannot be provided. This device is an ultrasound video gastroscope, not an AI-powered diagnostic tool. No MRMC study or AI-related comparative effectiveness study was performed or is relevant to this traditional medical device clearance.
6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
- Cannot be provided. Not applicable. This is a physical medical device (endoscope with ultrasound capability), not a standalone algorithm.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
- Cannot be provided. No ground truth was established for performance evaluation.
8. The sample size for the training set
- Cannot be provided. No training set was used as no performance study was conducted.
9. How the ground truth for the training set was established
- Cannot be provided. No training set, no ground truth establishment for it.
Summary of Device and 510(k) Clearance:
The EG-3670URK Ultrasound Video Gastroscope was cleared based on substantial equivalence to existing predicate devices (Pentax EG-3630UR Video Ultrasound Gastroscope and Hitachi EUB-5500 Ultrasound Diagnostic Scanner). The manufacturer provided specifications, standard components, and accessories, along with comparison tables to illustrate similarity to the predicates. This type of clearance, common for many medical devices, does not require new clinical performance data if the device is deemed sufficiently similar to a legally marketed predicate device.
The FDA's clearance letter (K061068) confirms this, stating the device is "substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices." The only specific post-clearance requirement mentioned is a "special report" containing acoustic output measurements based on production line devices, which relates to safety rather than clinical efficacy or diagnostic performance in a clinical study context.
§ 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.