K Number
K071845
Manufacturer
Date Cleared
2007-09-28

(85 days)

Product Code
Regulation Number
878.4800
Panel
SU
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Relieva Luma™ Sinus Illumination System is intended to provide a means to access the sinus space for diagnostic and therapeutic procedures in conjunction with other nasal and sinus products. It is also intended to illuminate within and transilluminate across nasal and sinus structures.

Device Description

The Relieva Luma™ Sinus Illumination System is a flexible device that transmits light at the distal tip. The system also contains two accessories: a light cable and an adapter.

AI/ML Overview

The provided text describes the Relieva Luma™ Sinus Illumination System and its 510(k) submission. However, it does not contain the detailed information necessary to answer all sections of your request regarding acceptance criteria and a definitive study proving the device meets them.

The document states: "The Relieva Luma™ Sinus Illumination System met all performance testing acceptance criteria." and "The Relieva Luma™ Sinus Illumination System is substantially equivalent to the predicate device as confirmed through relevant performance tests."

This indicates that some performance testing was conducted, and the device met its criteria, but the specifics of what those criteria were, how the tests were performed, and the results (beyond a statement of "met all criteria") are not included in the provided text.

Based on the available information, here is what can be extracted:

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

Acceptance CriteriaReported Device Performance
Not specified in the provided text.Met all performance testing acceptance criteria.

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

This information is not provided in the document.

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. This device is a manual surgical instrument, so "ground truth" would likely relate to its mechanical function, optical properties, or safety profile, rather than diagnostic accuracy established by experts.

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

This information is not provided in the document. Adjudication methods are typically relevant for studies involving human interpretation or subjective assessments, which isn't explicitly detailed for this device's performance 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

An MRMC study is not mentioned in the document. This type of study focuses on diagnostic systems, often involving AI, which is not the primary function described for the Relieva Luma™ Sinus Illumination System. The device is a "manual surgical instrument for general use" that provides illumination and access.

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

A standalone performance evaluation (algorithm only) is not applicable as this is a physical medical device, not an AI algorithm.

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

This information is not provided in the document. For a physical device like this, "ground truth" would likely relate to objective measurements of its physical and optical characteristics (e.g., light output, flexibility, durability, biocompatibility), rather than diagnostic "ground truth" derived from expert consensus or pathology.

8. The sample size for the training set

This information is not applicable as this is a physical medical device, not an AI algorithm requiring a training set.

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

This information is not applicable for the same reason as in point 8.

§ 878.4800 Manual surgical instrument for general use.

(a)
Identification. A manual surgical instrument for general use is a nonpowered, hand-held, or hand manipulated device, either reusable or disposable, intended to be used in various general surgical procedures. The device includes the applicator, clip applier, biopsy brush, manual dermabrasion brush, scrub brush, cannula, ligature carrier, chisel, clamp, contractor, curette, cutter, dissector, elevator, skin graft expander, file, forceps, gouge, instrument guide, needle guide, hammer, hemostat, amputation hook, ligature passing and knot-tying instrument, knife, mallet, disposable or reusable aspiration and injection needle, disposable or reusable suturing needle, osteotome, pliers, rasp, retainer, retractor, saw, scalpel blade, scalpel handle, one-piece scalpel, snare, spatula, stapler, disposable or reusable stripper, stylet, suturing apparatus for the stomach and intestine, measuring tape, and calipers. A surgical instrument that has specialized uses in a specific medical specialty is classified in separate regulations in parts 868 through 892 of this chapter.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 878.9.