AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

These single use, disposable, flexible sheath injection needles are intended to be used for the injection of various types of media through flexible endoscopes.

Device Description

The Carr-Locke and Articulator Injection Needles are single use, disposable, flexible sheath injection needles that are intended to be used for the injection of various types of media through flexible endoscopes. All the needles have the same general design and consist of a handle luer, a handle hypo tube, a compression spring (except for PN 00711808), a PEEK tube, a spring sheath, a distal hub and an injection needle.

The Carr-Locke and Articulator needles are sterile, disposable devices that are used through the working channel of flexible endoscopes for the purpose of injecting media into the gastrointestinal tract.

AI/ML Overview

The information provided is about the substantial equivalence of the STERIS Articulator and Carr-Locke Injection Needles (K232826) to a predicate device. This document is a 510(k) summary, which focuses on comparing a new device to a legally marketed predicate device to demonstrate that it is as safe and effective. It does not describe a study involving algorithms, AI, or human reader performance.

Therefore, many of the requested items (e.g., sample size for test set, data provenance, number of experts, adjudication method, MRMC study, standalone study, type of ground truth used, training set sample size, ground truth for training set) are not applicable to this type of device and submission.

However, I can extract the acceptance criteria and device performance from the tables in the "Summary of Nonclinical Tests" section.

Acceptance Criteria and Device Performance

The STERIS Articulator and Carr-Locke Injection Needles (K232826) underwent nonclinical testing to demonstrate substantial equivalence to the predicate device. The following table summarizes the acceptance criteria and reported results:

Testing CategoryTestingAcceptance CriteriaReported Device Performance
Functional TestingWorking LengthMeet design requirementsPass
Needle Deployment LengthMeet design requirementsPass
Needle Handle Luer CompatibilityMeet design requirementsPass
Luer CompatibilityMeet design requirementsPass
Needle Deployment Length After CyclesMeet design requirementsPass
Device Insertion ForceMeet design requirementsPass
Device Extraction ForceMeet design requirementsPass
Pentax Needle Scope CompatibilityMeet design requirementsPass
Device Catheter Kink CriteriaMeet design requirementsPass
Ferrule to Needle Tensile ForceMeet design requirementsPass
PEEK to Needle Tensile ForceMeet design requirementsPass
Handle Hypo Tube to PEEK Tensile ForceMeet design requirementsPass
Handle Hypo Tube to Luer Tensile ForceMeet design requirementsPass
Distal Hub to Spring Sheath Tensile ForceMeet design requirementsPass
Spring Sheath to HandleMeet design requirementsPass
Handle Hypo Tube to Washer Tensile ForceMeet design requirementsPass
Male Handle to Female Handle Tensile ForceMeet design requirementsPass
Injection Force Gauge ComparisonMeet design requirementsPass
Needle Deployment Force & RetractionMeet design requirementsPass
Needle Leakage TestMeet design requirementsPass
Simulated Use TestingEndoscope Channel CompatibilityMeet design requirementsPass
Pentax Endoscope CompatibilityMeet design requirementsPass
Duodenoscope CompatibilityMeet design requirementsPass
Needle Deployment and RetractionMeet design requirementsPass
Needle Deployment LockMeet design requirementsPass
Device Functions in a Straight and Articulated PositionMeet design requirementsPass
Needle PatencyMeet design requirementsPass
Duodenoscope Injection CompatibilityMeet design requirementsPass
Needle PenetrationMeet design requirementsPass
Leakage RequirementMeet design requirementsPass
Device Maintains Structural IntegrityMeet design requirementsPass

Study Information (Relevant to this type of device)

  1. Sample size used for the test set and the data provenance: The document does not specify the exact sample sizes (number of devices or tests performed) for each nonclinical test. It only states that testing was performed. Data provenance is not described as this is a device performance study, not a clinical trial or AI model validation.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. The tests are engineering/performance evaluations, not clinical diagnoses requiring expert ground truth.
  3. Adjudication method for the test set: Not applicable for nonclinical device performance tests.
  4. 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: Not applicable. This is not an AI/imaging device.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an AI/algorithm.
  6. The type of ground truth used: For these nonclinical tests, the "ground truth" is defined by the "design requirements" which are established engineering and performance specifications for the device.
  7. The sample size for the training set: Not applicable. This is not an AI/machine learning device that requires a training set.
  8. How the ground truth for the training set was established: Not applicable.

§ 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.