K Number
K963252
Device Name
TBAN
Date Cleared
1996-09-20

(32 days)

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

The Transbronchial Aspiration Needle is indicated for use in aspiration in carinal, paratracheal, hilar, and peripheral lesions of the bronchial tree where biopsy forceps cannot obtain a submucosal sample.

Device Description

The Modified Transbronchial Aspiration Needle is a device used for aspiration in the bronchial tree. It has a double lumen cross section and a retractable needle. It is available in catheter lengths of 150 cm, outer catheter OD of 1.8, needle sizes of 18, 19, & 21 Ga, and needle lengths of 14 & 20 mm.

AI/ML Overview

The provided text describes a 510(k) premarket notification for a medical device called the "Modified Transbronchial Aspiration Needle." This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than providing extensive de novo clinical performance studies with detailed acceptance criteria and supporting data for an AI-powered diagnostic device.

Therefore, many of the requested categories related to AI performance, such as sample size for test sets, expert adjudication, MRMC studies, standalone performance, and training set details, are not applicable to this document.

However, I can extract information related to the device's performance as demonstrated for substantial equivalence.

Here's the information based on the provided text:

Acceptance Criteria and Study for Modified Transbronchial Aspiration Needle

1. Table of Acceptance Criteria and Reported Device Performance

For this 510(k) submission, the "acceptance criteria" are implied by demonstrating substantial equivalence to predicate devices, particularly in terms of descriptive, technological, and performance characteristics. The reported device performance is presented as being comparable or equivalent to these predicates.

Acceptance Criterion (Implicit from Substantial Equivalence Claim)Reported Device Performance (Modified Transbronchial Aspiration Needle)
Intended Use Equivalence"Aspiration in carinal, hilar, paratracheal, and peripheral lesions" - Equivalent to predicate devices, which also perform aspiration.
Route of Administration Equivalence"Bronchoscope" - Equivalent to predicate devices.
Design Feature Equivalence (Cross Section)"Double Lumen" - Equivalent to Boston Scientific's TBAN predicate, and one configuration of Mill-Rose's predicate.
Design Feature Equivalence (Retractable Needle)"Yes" - Equivalent to both predicate devices.
Dimensional Equivalence (Catheter Length)"150 cm" - Equivalent to Boston Scientific's TBAN predicate, and similar to Mill-Rose's 140cm predicate.
Dimensional Equivalence (Outer Catheter OD)"1.8" - Equivalent to both predicate devices.
Dimensional Equivalence (Needle Size)"18, 19, & 21 Ga" - Overlaps significantly with Boston Scientific's TBAN (18 & 21 Ga) and Mill-Rose's (19-22 Ga) predicate devices.
Dimensional Equivalence (Needle Length)"14 & 20 mm" - Overlaps with Boston Scientific's TBAN (13 & 20 mm) and Mill-Rose's (13 & 15 mm) predicate devices.
Biocompatibility"biocompatibility assessment was performed on the patient- and fluid-contact materials... with satisfactory results." - Demonstrated to be safe for patient contact.
Sterilization Efficacy"sterilized using ethylene oxide gas using the AAMI protocol for ethylene oxide sterilization." - Conforms to recognized sterilization standards.
Pyrogenicity"Pvrogenicity testing will be performed on a periodic basis to monitor bacterial endotoxin levels." - Ongoing monitoring for safety.
General Safety and Performance"Laboratory testing regarding characteristics was performed... to verify its safety and performance." "The information presented provides assurance that the Modified Transbronchial Aspiration Needle will meet the minimum requirements that are considered acceptable for its intended use." - General claim of satisfactory lab performance to ensure safety and function, necessary for substantial equivalence demonstration.

2. Sample size used for the test set and the data provenance:

  • Not applicable (N/A). This is a 510(k) submission for a physical medical device, not an AI diagnostic device. The "test set" primarily refers to comparative analysis against predicate device specifications and laboratory testing, not a clinical data set in the context of AI performance.
  • The data provenance is from internal "Laboratory testing" and comparison to existing predicate device specifications.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • N/A. Ground truth in the context of expert review for diagnostic accuracy is not relevant to this device type or submission.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

  • N/A. Adjudication methods for diagnostic interpretation are not relevant to this device type or submission.

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:

  • N/A. This is not an AI-assisted diagnostic device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

  • N/A. This is a physical medical device, not an algorithm.

7. The type of ground truth used:

  • For the comparative analysis: Predicate device specifications and characteristics.
  • For the new device's performance: Laboratory testing results (e.g., biocompatibility, sterilization efficacy, physical dimensions, functional performance characteristics).

8. The sample size for the training set:

  • N/A. This is not an AI diagnostic device requiring a training set.

9. How the ground truth for the training set was established:

  • N/A. This is not an AI diagnostic device.

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K963252

SECTION 9 510(K) SUMMARY

FOI RELEASABLE

Pursuant to §513(i)(3)(A) of the Food, Drug, and Cosmetic Act, Boston Scientific Corporation is required to submit with this Premarket Notification "...adequate summary of any information respecting safety and effectiveness or state that such information will be made available upon request of any person." Boston Scientific Corporation chooses to submit a summary of information respecting safety and effectiveness.

> COMMON/USUAL NAMES:Needle, Endoscopic
> TRADE/PROPRIETARY NAME:TBAN
> CLASSIFICATION NAME &DEVICE CLASSIFICATION:Class II
NameNumber21 CFR Ref.
Needle, Endoscopic78 FBK876.1500
> DEVICE PANEL/BRANCH:Gastroenterology-Urology (GU)Gastro-Renal (GRDB)
> OWNER/OPERATOR:Boston Scientific CorporationOne Boston Scientific PlaceNatick, MA 01760
> CONTACT PERSON:Lisa M. Quaglia, Regulatory Affairs Specialist

INDICATIONS FOR USE

The Transbronchial Aspiration Needle is indicated for use in aspiration in carinal, paratracheal, hilar, and peripheral lesions of the bronchial tree where biopsy forceps cannot obtain a submucosal sample.

CONTRAINDICATIONS

There are no known contraindications with this device.

POTENTIAL COMPLICATIONS

Possible complications include, but may not be limited to, inadvertent perforation of the bronchial tree.

Premarket Notification, Modified Transbronchial Aspiration Needle, August 16, 1996

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DESCRIPTIVE AND TECHNOLOGICAL CHARACTERISTICS OF PROPOSED AND PREDICATE DEVICES

1

Boston Scientific Corporation believes that the Modified Transbronchial Aspiration Needle is substantially equivalent to the currently-marketed Boston Scientific's TBAN and Mill Rose's Transbronchial Aspiration Needles. Figure 9-1 compares the descriptive characteristics of these products.

PERFORMANCE CHARACTERISTICS

Laboratory testing regarding characteristics was performed Modified Transbronchial Aspiration Needle to verify its safety and performance. A biocompatibility assessment was performed on the patient- and fluid-contact materials of the Modified Transbronchial Aspiration Needle with satisfactory results.

PACKAGING, STERILIZATION, AND PYROGENICITY

The Modified Transbronchial Aspiration Needle will be packaged in a pouch. The Modified Transbronchial Aspiration Needle will be sterilized using ethylene oxide gas using the AAMI protocol for ethylene oxide sterilization. Pvrogenicity testing will be performed on a periodic basis to monitor bacterial endotoxin levels.

CONCLUSION

Boston Scientific Corporation believes that its Modified Transbronchial Aspiration Needle is substantially equivalent to the currently-marketed Boston Scientific Transbronchial Aspiration Needle and the Mill-Rose Transbronchial Aspiration Needle. Figure 9-1 compares the descriptive characteristics of these products. As demonstrated in Figure 9-1, the Modified Transbronchial Aspiration Needle is equivalent in its indications for use, while being very similar in design and materials. In addition, Boston Scientific Corporation has presented laboratory testing and biocompatibility information. The information presented provides assurance that the Modified Transbronchial Aspiration Needle will meet the minimum requirements that are considered acceptable for its intended use.

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Figure 9-1: Similarities and Differences between modified Transbronchial Aspiration Needle, Boston Scientific's TBAN, and Mill-Rose's Transbronchial Aspiration Needle

ModifiedTransbronchialAspiration Needle(This 510(k))BostonScientific's TBAN(K840033)Mill-Rose'sTransbronchialAspiration Needle(K914181)
USE
IndicationAspiration in carinal,hilar, paratracheal,and peripherallesionsAspirationAspiration forcytology/histology
Route of AdministrationBronchoscopeBronchoscopeBronchoscope
DESIGN FEATURES
Cross SectionDouble LumenDouble LumenSingle or doubleLumen
Retractable NeedleYesYesYes
DIMENSIONS
Catheter Length (cm)150150140
Outer Catheter OD1.81.81.8
Needle Size (Ga)18, 19, & 2118 & 2119 – 22
Needle Length (mm)14 & 2013 & 2013 & 15

Premarket Notification, Modified Transbronchial Aspiration Needle, August 16, 1996

§ 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.