K Number
K090547
Manufacturer
Date Cleared
2009-03-18

(16 days)

Product Code
Regulation Number
878.4300
Panel
SU
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The UltraClip II US Wing and Coil are intended for use to attach to soft breast tissue at the surgical site during an open surgical breast biopsy or a percutaneous breast biopsy to radiographically mark the location of the biopsy procedure.

Device Description

The UltraClip II US Wing and Coil are sterile, single use devices comprised of a disposable introducer needle and an implantable metal tissue marker with a polymer insert composed of polyvinyl alcohol (PVA). The device is designed to attach the marker to soft breast tissue at the surgical site during an open surgical breast at biopsy or a percutaneous breast biopsy to radiographically mark the location of the biopsy procedure.

AI/ML Overview

The provided text is a 510(k) summary for the UltraClip II US Wing and Coil. It describes the device, its intended use, and its substantial equivalence to a predicate device. However, it does not contain the detailed study information, acceptance criteria, or performance data that would be needed to fill out most of the requested table.

The submission is a declaration of substantial equivalence based on the technological characteristics being identical to the predicate device and the new device meeting "predetermined acceptance criteria of the design verification and validation testing performed under design controls." It does not provide the specifics of those criteria or the results of the performance testing.

Therefore, for aspects requiring specific study details, sample sizes, expert qualifications, and detailed performance metrics, the information is not available in the provided document.

Here's what can be extracted and what is missing:

Acceptance Criteria and Reported Device Performance

Criterion CategoryAcceptance CriteriaReported Device Performance
Overall Performance"All predetermined acceptance criteria of the design verification and validation testing performed under design controls.""The UltraClip II US Wing and Coil met all predetermined acceptance criteria..."
Technological CharacteristicsIdentical to the predicate device (UltraClip II Wing and Coil, K063238) in terms of intended use, indications for use, target population, fundamental scientific technology, operating principle, method of sterilization, packaging configuration, sterility assurance level, and performance characteristics."The technological characteristics of the subject device are identical to those of the predicate device..."
Specific Performance MetricsNot detailed in documentNot detailed in document
Clinical Performance MetricsNot detailed in documentNot detailed in document

Study Details

Information PointResponse
1. Sample size for test setNot specified. The document refers to "design verification and validation testing" but does not provide details on sample sizes for any specific test sets.
1. Data provenance (e.g., country, retrospective/prospective)Not specified. The document does not describe the nature, origin, or type of data collected for the design verification and validation.
2. Number of experts for ground truthNot applicable/Not specified. The document does not describe a study involving expert consensus for establishing ground truth, as it is a device for marking tissue, not for diagnosis that would require expert interpretation of images.
2. Qualifications of expertsNot applicable/Not specified.
3. Adjudication methodNot applicable/Not specified.
4. MRMC comparative effectiveness studyNo. The document does not describe a multi-reader multi-case comparative effectiveness study. The device is a tissue marker, not an AI diagnostic tool.
4. Effect size of human readers with AI vs. without AINot applicable.
5. Standalone performance (algorithm only)Not applicable. This is a physical medical device (implantable clip), not a software algorithm. The "performance" refers to its physical and functional characteristics (e.g., ability to attach, visibility on imaging, sterility, etc.), not algorithmic accuracy.
6. Type of ground truth usedNot applicable in the context of diagnostic AI. For a physical device, performance is typically validated against engineering specifications, material properties, biocompatibility standards, and functional tests (e.g., deployment, visibility under imaging). The document implies tests were performed against "predetermined acceptance criteria."
7. Sample size for training setNot applicable. This is a physical medical device, not a machine learning model.
8. How ground truth for training set was establishedNot applicable.

§ 878.4300 Implantable clip.

(a)
Identification. An implantable clip is a clip-like device intended to connect internal tissues to aid healing. It is not absorbable.(b)
Classification. Class II.