(186 days)
This device is to be used to protect and retract an incision in the abdominal wall. This is accomplished by placing one o-ring through the incision into the peritoneum cavity while the other o-ring remains outside of the incision. The outside o-ring is then rolled down against the skin. This lines the wound to protect against contamination and holds the incision open.
The PROTECTOR® Retractor is a sterile, disposable device. The PROTECTOR® Retractor consists of an open-ended cylinder with a flexible o-ring at each end. The PROTECTOR® Retractor with a drape is the same configuration, except that it has a drape that is an integral part of it.
This 510(k) summary provides limited information regarding detailed acceptance criteria and a formal study proving device performance against specific metrics. It primarily focuses on demonstrating substantial equivalence to predicate devices through a combination of lab testing, pig studies, and clinical observations.
However, based on the provided text, I can infer and extract some information, although it will be less structured than requested for typical AI/ML device evaluations.
Here's an attempt to answer your questions based on the provided text:
1. A table of acceptance criteria and the reported device performance
Based on the document, explicit quantitative acceptance criteria are not stated. The performance assessment is qualitative and comparative.
| Acceptance Criteria (Inferred from Intended Use / Performance Goals) | Reported Device Performance (as stated in the document) |
|---|---|
| Wound Protection: Ability to protect the wound against contamination. | "It could protect the wound... Both PROTECTOR® Retractor and the two predicate devices accomplished the same thing..." |
| Wound Retraction: Ability to hold the incision open. | "...verify that it could... retracting the wound (holding it open). Both PROTECTOR® Retractor and the two predicate devices accomplished the same thing..." |
| Safety: Safe operation for patients. | "The results of the pilot clinical... is that the PROTECTOR® Retractor works safely..." |
| Effectiveness: Effective function in clinical use. | "The results of the pilot clinical... is that the PROTECTOR® Retractor works... effectively to protect the wound and hold it open." |
| Ease of Use (Comparative): Simpler to use than predicate. | "...the PROTECTOR® Retractor is much simpler to use and keeps the operating area clear of any contraptions." |
| Toxicology (Comparative): Non-toxic. | "as safe and effective as the two predicate devices from the standpoint of toxicology..." |
2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Test Set Sample Size:
- Pilot Clinical: 41 subjects
- Pivotal Clinical: "presently in a pivotal clinical." (Ongoing, so the "to date" results are based on an unspecified number of subjects from this ongoing study).
- Lab Testing: "on a fake abdominal wall" (sample size not specified).
- Pig Studies: (sample size not specified).
- Data Provenance: Not specified (e.g., country of origin). The clinical studies are described as "pilot clinical" and "pivotal clinical," indicating they are prospective clinical trials.
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)
The document does not mention the use of experts to establish "ground truth" in the sense of independent review for diagnostic accuracy, as might be typical for AI/ML devices. The "ground truth" here seems to be the direct observation of the device's function and safety by clinical staff during the pilot and pivotal clinical studies. The qualifications of these clinical staff are not detailed.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
No formal adjudication method is described for the clinical data. The summary states "The results of the pilot clinical... is that the PROTECTOR® Retractor works safely and effectively," suggesting direct clinical observation and judgment.
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
No. This is a medical device for surgical retraction and wound protection, not an AI/ML diagnostic imaging device. Therefore, an MRMC study and effects on human reader performance are not applicable or described.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable. This is a physical medical device, not an algorithm. Performance is inherently "standalone" in that its physical function is evaluated, but it is always used "with human-in-the-loop" during surgery.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
The "ground truth" for demonstrating the device's function appears to be:
- Direct observation of physical performance in lab tests ("fake abdominal wall").
- Direct observation of physical performance in animal studies ("pig studies").
- Direct observation of clinical function (wound protection, wound retraction) and safety in human subjects during pilot and pivotal clinical studies. This would likely involve surgeon's assessment and patient outcomes.
8. The sample size for the training set
Not applicable. This is a physical medical device, not an AI/ML algorithm that requires a "training set."
9. How the ground truth for the training set was established
Not applicable, as there is no "training set" for a physical device.
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Image /page/0/Picture/1 description: The image shows the logo for Medical Creative Technologies, Inc. The logo consists of the letters "CT" in a bold, stylized font, with the word "medical" above the letters. To the right of the letters is the text "medical creative technologies, inc." The text is in a smaller font than the letters "CT".
EXHIBIT 3
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510(k) SUMMARY
PR 23 1996
Medical Creative Technologies, Inc. 2950-N Advance Lane Colmar. PA 18915
215-997-9689 215-997-2371 (FAX)
Name of Contact Person: Perk Crook
October 20, 1995 Revised March 22, 1996
PROTECTOR® Retractor and Trade Name: PROTECTOR® Retractor with Drape
PROTECTOR® Retractor Common Name:
Protector, Wound, Plastic Classification Name:
Classification Number: 79EYS
The legally marketed devices to which we are claiming equivalency are a wound edge protector drape and a self-retaining retractor.
Description of the Device:
The PROTECTOR® Retractor is a sterile, disposable device. The PROTECTOR® Retractor consists of an open-ended cylinder with a flexible o-ring at each end. The PROTECTOR® Retractor with a drape is the same configuration, except that it has a drape that is an integral part of it.
Intended Use of the Device:
This device is to be used to protect and retract an incision in the abdominal wall. This is accomplished by placing one o-ring through the incision into the peritoneum cavity while the other o-ring remains outside of the incision. The outside o-ring is then rolled down against the skin. This lines the wound to protect against contamination and holds the incision open.
Developers of innovative medical devices
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Summary of Technical Characteristics of this Device Compared to the Predicate Device:
The PROTECTOR® Retractor accomplishes what the "Wound Edge Protector Drape" and "Self-Retaining Retractors" accomplish, except that it is one device rather than two. The "Wound Edge Protector Drape" is made out of the same type of material as the PROTECTOR® Retractor, whereas the "Self-Retaining Retractor" is made out of stainless steel and is an assembly of various angled irons, rods, clamps and screws. The PROTECTOR® Retractor accomplishes the same thing as the "Wound Edge Protector Drape" and "Self-Retaining Retractor" used in concert. The PROTECTOR® Retractor is a single-use disposable device as is the "Wound Edge Protector Drape", whereas the "Self-Retaining Retractor" is re-usable.
Assessment of Performance Data:
The PROTECTOR® Retractor was lab tested on a fake abdominal wall and in pig studies to verify that it could protect the wound at the same time as retracting the wound (holding it open). Both PROTECTOR® Retractor and the two predicate devices accomplished the same thing, except that the PROTECTOR® Retractor is much simpler to use and keeps the operating area clear of any contraptions.
Assessment of Performance Data- Clinical:
The PROTECTOR® Retractor is a component of the DEXTERITY® Pneumo Sleeve and PROTECTOR® Retractor which has been through a pilot clinical and is presently in a pivotal clinical. The results of the pilot clinical (41 subject) and the pivotal clinical to date is that the PROTECTOR® Retractor works safely and effectively to protect the wound and hold it open. The PROTECTOR® Retractor will be available in four different sizes which will accommodate different size incisions depending on the abdominal surgery being undertaken.
Conclusion Drawn from the Non-Clinical and Clinical Data:
It is concluded that the PROTECTOR® Retractor with or without Drape is as safe and effective as the two predicate devices from the standpoint of toxicology, protection of the wound and the physical retraction of the wound.
This concludes the summary for this 510(k).
§ 878.4370 Surgical drape and drape accessories.
(a)
Identification. A surgical drape and drape accessories is a device made of natural or synthetic materials intended to be used as a protective patient covering, such as to isolate a site of surgical incision from microbial and other contamination. The device includes a plastic wound protector that may adhere to the skin around a surgical incision or be placed in a wound to cover its exposed edges, and a latex drape with a self-retaining finger cot that is intended to allow repeated insertion of the surgeon's finger into the rectum during performance of a transurethral prostatectomy.(b)
Classification. Class II (special controls). The device, when it is an ear, nose, and throat surgical drape, a latex sheet drape with self-retaining finger cot, a disposable urological drape, a Kelly pad, an ophthalmic patient drape, an ophthalmic microscope drape, an internal drape retention ring (wound protector), or a surgical drape that does not include an antimicrobial agent, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.