K Number
K090677
Manufacturer
Date Cleared
2009-05-07

(52 days)

Product Code
Regulation Number
876.1500
Panel
SU
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Innovia InnoPort™ Laparoscopic Access Port is a sterile, single use device, intended for use as a multiple instrument and/or camera port during minimally invasive laparoscopic abdominal surgery.

Device Description

The InnoPort™ Laparoscopic Access Port is a sterile, single use laparoscopic access device made of a flexible Quatromer polymer combined with polycarbonate and polyurethane components. It forms a truncated cone approximately 5.0 centimeters long (not including instrument ports), with three individual laparoscopic instrument ports at the larger end. A fourth port connects to the insufflation system to provide intra-abdominal pneumoperitoneum. The instrument ports are designed to accommodate 5 mm diameter laparoscopic instruments while allowing full maneuverability without loss of pneumoperitoneum. The complete device is designed to be inserted through a single incision into the abdominal cavity for the duration of surgery.

AI/ML Overview

I am designed to extract and analyze information related to medical device acceptance criteria and performance studies. However, the provided document (K090677) describes a Laparoscopic Access Port, which is a physical surgical device, not a software-based AI device.

Therefore, the concepts of "acceptance criteria for an AI device," "device performance in a study proving AI acceptance criteria," "sample size for test set," "data provenance," "number of experts for ground truth," "adjudication method," "multi-reader multi-case (MRMC) comparative effectiveness study," "standalone performance," "type of ground truth," "training set size," and "ground truth for training set" are not applicable to this document.

The document discusses performance and functional testing for the physical laparoscopic device, including bench and in vivo tests to verify its ability to:

  • Maintain pneumoperitoneum with minimal leakage.
  • Allow introduction and manipulation of instruments.
  • Meet performance specifications.

It concludes that the device is "substantially equivalent" to its predicate device and introduces "no new safety or effectiveness issues." This is the standard for 510(k) clearances for physical devices, focusing on safety and equivalence rather than AI-specific performance metrics.

§ 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.