K Number
K202987
Date Cleared
2021-04-29

(211 days)

Product Code
Regulation Number
874.4680
Panel
AN
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Rescue™ Pulmonary Grasping Forceps are intended to retrieve foreign body and/or excised tissue endoscopically within the upper airways and tracheobronchial tree.

Device Description

The Rescue™ Pulmonary Grasping Forceps is sterile, single-use devices. The Rescue™ Pulmonary Grasping Forceps can retrieve foreign body and/or excised tissue endoscopically within the upper airways and tracheobronchial tree.

The Rescue™ Pulmonary Grasping Forceps is composed of thumb ring, spool and sliding handle at proximal end and the middle section of the Rescue™ Pulmonary Grasping Forceps is flexible shaft with a working length of 120 cm that connects with the distal end jaw assembly with an inner jaw opening of 4.5 mm. The Rescue™ Pulmonary Grasping Forceps is designed to pass through a 2.0 mm or greater working channel of a bronchoscope.

To operate the device, the user slides the spool back and forth over the handle body to open and close the iaws. The spool simultaneously actuates the pull wire which runs the length of the device and terminates with a connection to the jaws. Using Rescue™ Pulmonary Grasping Forceps the users can grasp excised tissue or foreign body by opening and then closing the jaws. The users can then retrieve the excised tissue or foreign body by pulling the Rescue™ Pulmonary Grasping Forceps with bronchoscope out of patient.

AI/ML Overview

The provided text is a 510(k) Pre-market Notification for a medical device called "Rescue™ Pulmonary Grasping Forceps." This document details the device's characteristics, intended use, and performance data to establish substantial equivalence to a predicate device.

However, the document does not contain the information requested regarding acceptance criteria and study details for an AI-enabled medical device. The "Rescue™ Pulmonary Grasping Forceps" is a physical medical instrument, and the performance data described relates to its physical and material properties, not an AI algorithm.

Therefore, I cannot provide the requested information. The document does not describe:

  • Acceptance criteria for an AI algorithm.
  • Device performance in terms of AI metrics (e.g., sensitivity, specificity).
  • Sample sizes for test sets in an AI study.
  • Data provenance for AI training or testing.
  • Number or qualifications of experts for AI ground truth.
  • Adjudication methods for AI test sets.
  • MRMC comparative effectiveness study for AI.
  • Standalone performance for an AI algorithm.
  • Type of ground truth for an AI algorithm.
  • Sample size or ground truth establishment for an AI training set.

§ 874.4680 Bronchoscope (flexible or rigid) and accessories.

(a)
Identification. A bronchoscope (flexible or rigid) and accessories is a tubular endoscopic device with any of a group of accessory devices which attach to the bronchoscope and is intended to examine or treat the larynx and tracheobronchial tree. It is typically used with a fiberoptic light source and carrier to provide illumination. The device is made of materials such as stainless steel or flexible plastic. This generic type of device includes the rigid ventilating bronchoscope, rigid nonventilating bronchoscope, nonrigid bronchoscope, laryngeal-bronchial telescope, flexible foreign body claw, bronchoscope tubing, flexible biopsy forceps, rigid biopsy curette, flexible biopsy brush, rigid biopsy forceps, flexible biopsy curette, and rigid bronchoscope aspirating tube, but excludes the fiberoptic light source and carrier.(b)
Classification. Class II.