K Number
K970602
Manufacturer
Date Cleared
1997-04-15

(56 days)

Product Code
Regulation Number
876.5320
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Vaginal Stimulation/EMG Probe - Small is intended to provide electromyographic feedback from pelvic musculature or electrical stimulation to pelvic musculature for the purpose of rehabilitation of weak pelvic floor muscles and restoration of neuromuscular control during the treatment of urinary incontinence.

Device Description

Hollister Incorporated through it's InCare Division currently markets a vaginal 2-electrode stimulation/EMG probe (K891773) as an accessory to it's Pelvic Floor Therapy System product line. Requests and comments from physicians and caregivers has indicated the need for a smaller diameter vaginal probe that would be used by patients that have a smaller vaginal anatomy and who cannot use the currently marketed vaginal probe. In response to these comments, Hollister has developed the vaginal 2-electrode stimulation/EMG probe - small. This probe uses the same identical raw material components and manufacturing process as the currently marketed device. The only difference is that the proposed probe has a smaller diameter to accommodate smaller vaginal anatomies.

AI/ML Overview

This document describes a 510(k) summary for a new medical device, the Hollister Incorporated Vaginal Stimulation/EMG Probe - Small. This submission focuses on demonstrating substantial equivalence to a predicate device (K891773). Since this is a 510(k) submission for a substantially equivalent device, the focus is on comparing the new device to an existing cleared device rather than establishing new safety and effectiveness criteria through extensive clinical studies as would be required for a novel device. Therefore, many of the typical "acceptance criteria" and "study proving acceptance" details regarding performance metrics (like sensitivity, specificity, etc.) and large-scale clinical trials are not present in this type of document.

Instead, the acceptance criteria are effectively demonstrating that the new device has the same technological characteristics, intended use, and performs no worse than the predicate device, especially regarding safety (biocompatibility).

Here's an analysis based on the provided text, addressing your questions where applicable and explaining why some information might be absent:


1. A table of acceptance criteria and the reported device performance

The "acceptance criteria" for a 510(k) submission for a substantially equivalent device are less about numerical performance targets (e.g., specific accuracy rates) and more about demonstrating that the new device is as safe and effective as a legally marketed predicate device. The performance is demonstrated by showing identical or highly similar characteristics and safety profiles.

Acceptance Criteria (Demonstration of Substantial Equivalence)Reported Device Performance (Comparison of Characteristics)
Intended Use (Same as predicate)Identical: "The Vaginal Stimulation/EMG Probe - Small is intended to provide electromyographic feedback from pelvic musculature or electrical stimulation to pelvic musculature for the purpose of rehabilitation of weak pelvic floor muscles and restoration of neuromuscular control during the treatment of urinary incontinence." (Matches predicate's use)
Technological Characteristics (Similar to predicate)Highly Similar, with noted differentiation: Most characteristics are identical (Number of Electrode, Usage Conditions, Electrode Orientation, Body Material, Probe Length, Electrode Material, Electrode Placement, Device Connector, Contact Duration, Indications for Use), with the key difference being a smaller Probe Diameter for the new device (0.750 inch nominal vs. 1.0 inch nominal). Material components and manufacturing process are stated as identical.
Safety - Biocompatibility (Safe for intended use)Considered Biocompatible: Assessment based on ISO 10993, G95-1, USP, and material history/in vitro/in vivo evaluations using commercial reference laboratories. "materials used to fabricate Vaginal Stimulation Probe - Small are considered biocompatible and appropriate for their intended use."

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

For this type of 510(k) submission for a substantially equivalent device, there isn't typically a "test set" in the sense of a clinical trial with a specific number of patients whose data is analyzed for performance metrics like sensitivity or specificity. The submission relies on:

  • Engineering comparisons: The comparison chart (Table 6) shows a direct comparison of physical and functional characteristics between the new device and the predicate device.
  • Material testing for biocompatibility: This involves laboratory testing of material samples, not patient data. The document does not specify the sample size for these material tests, nor whether they were prospective or retrospective. The provenance refers to "licensed commercial reference laboratories".

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)

This information is not applicable and not provided in the document. Ground truth as typically understood for AI/ML device performance (e.g., expert consensus on diagnoses) is not relevant to this 510(k) submission. The "ground truth" for this submission is whether the new device functions as intended and is as safe as the predicate, which is assessed through engineering comparisons and biocompatibility testing, not expert diagnosis on patient data.

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

Not applicable. There is no "test set" in the context of clinical data requiring adjudication by experts.

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

Not applicable. This device is a physical medical probe for electrical stimulation and EMG feedback, not an AI/ML algorithm that assists human readers/clinicians in interpretation or diagnosis. Therefore, MRMC studies and "human readers improve with AI" metrics are not relevant.

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

Not applicable. As explained above, this is a physical medical device, not an algorithm.

7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

The "ground truth" for this 510(k) submission is the demonstrated safety and effectiveness of the predicate device. The new device's ground truth is established by proving it is substantially equivalent to this already cleared device. This involves:

  • Functional equivalence: Demonstrated by the comparison chart showing identical intended use and very similar technological characteristics (Table 6).
  • Safety equivalence: Demonstrated by relying on identical raw materials, manufacturing processes, and specific biocompatibility testing conforming to established standards (ISO 10993, USP) for the new materials/device.

8. The sample size for the training set

Not applicable. This is not an AI/ML device or a device requiring a "training set" in that context.

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

Not applicable. See point 8.


Summary Explanation:

This 510(k) submission is for a modified version of an existing device (smaller diameter vaginal probe). The regulatory pathway for this type of submission (Substantial Equivalence) focuses on demonstrating that the new device:

  1. Has the same intended use as a legally marketed predicate device.
  2. Has the same technological characteristics as the predicate device or, if different, that these differences do not raise new questions of safety and effectiveness.
  3. Is as safe and effective as the predicate device.

Given these objectives, the "acceptance criteria" are met by presenting a detailed comparison, confirming material safety (biocompatibility), and stating that the manufacturing processes are identical (implying consistent quality with the predicate). There are no clinical studies with patient "test sets" or "training sets" performed for performance metrics like sensitivity/specificity described in this document because the primary evidence for safety and effectiveness comes from its similarity to an already cleared device.

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Image /page/0/Picture/0 description: The image shows the Hollister logo. The logo consists of a black geometric shape resembling a stylized cross or asterisk on the left, followed by the word "Hollister" in a bold, sans-serif font. The text is also in black, creating a strong contrast against the white background.

APR 1 5 1997

Hollister Incorporated 2000 Hollister Drive Libertyville, Illinois 60048-3781 PIO3

1970602

Hollister Incorporated Vaginal Stimulation/EMG Probe - Small

510(k) Summary

1. Submitter's name, Address and Contact Person

Submitter Hollister Incorporated 2000 Hollister Drive Libertyville, IL 60048

Contact Person Joseph S. Tokarz Manager, Regulatory Affairs (847)680-2849 Ph (847)918-3860 Fax

Date Summary Prepared - February 13, 1997

2. Name of Device:

Vaginal Stimulation/EMG Probe - Small

3. Name of Predicate Device(s)

Vaginal Stimulation/EMG Probe, K891773

4. Description of Device

Hollister Incorporated through it's InCare Division currently markets a vaginal 2-electrode stimulation/EMG probe (K891773) as an accessory to it's Pelvic Floor Therapy System product line. Requests and comments from physicians and caregivers has indicated the need for a smaller diameter vaginal probe that would be used by patients that have a smaller vaginal anatomy and who cannot use the currently marketed vaginal probe. In response to these comments, Hollister has developed the vaginal 2-electrode stimulation/EMG probe - small. This probe uses the same identical raw material components and manufacturing process as the currently marketed device. The only difference is that the proposed probe has a smaller diameter to accommodate smaller vaginal anatomies.

5. Statement of Intended Use

The Vaginal Stimulation/EMG Probe - Small is intended to provide electromyographic feedback from pelvic musculature or electrical stimulation to pelvic musculature for the purpose of rehabilitation of weak pelvic floor muscles and restoration of neuromuscular control during the treatment of urinary incontinence.

6. Statement of Technological Characteristics of the Device

The proposed device is substantially equivalent to the predicate device. The following is a chart comparing the two devices.

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K970102 820)

Image /page/1/Picture/1 description: The image shows the Hollister brand logo. On the left is a geometric design that resembles a stylized snowflake or asterisk. To the right of the design is the word "Hollister" in a serif typeface, with a trademark symbol to the right of the word.

Hollister Incorporated Vaginal Stimulation/EMG Probe - Small

Comparison of the Vaginal Stimulation/EMG Probe-Small and Predicate device

ElectrodeVaginal Stimulation/EMG Probe-Vaginal Stimulation/EMG Probe -
CharacteristicsSmallStandard
Number of Electrode2-Stimulation/EMG2-Stimulation/EMG
Usage ConditionsReusable - single patient useReusable - single patient use
Electrode OrientationCircularCircular
Body MaterialAcrylonitrile-Butadiene-Styrenecopolymer (ABS)Acrylonitrile-Butadiene-Styrenecopolymer (ABS)
Probe Length4.8 inches nominal4.8 inches nominal
Probe Diameter0.750 inch nominal1.0 inch nominal
Electrode MaterialStainless steelStainless steel
Electrode PlacementVaginalVaginal
Device ConnectorAttached cord with 3.5 mm stereophono plugAttached cord with 3.5 mm stereophono plug
Contact DurationIntermittent mucosal contact<30 min/session - stimulation<1 hour/session - biofeedbacknot exceeding 1 hr combinedstimulation/biofeedbackIntermittent mucosal contact<30 min/session - stimulation<1 hour/session - biofeedbacknot exceeding 1 hr combinedstimulation/biofeedback
Indications for UseElectrical stimulation of the pelvicfloor muscles for the treatment ofurinary incontinence. EMG sensing ofthe pelvic floor musclesElectrical stimulation of the pelvicfloor muscles for the treatment ofurinary incontinence. EMG sensing ofthe pelvic floor muscles

7. Biocompatibility

The biocompatibility of the Vaginal Stimulation Probe, in nonsterilized configurations was assessed based on principles and guidelines established by various governmental and standard setting organizations, such as:

  • -- ISO 10993, International Standards Organization (ISO) Standard
  • -- General Program Memorandum #G95-1, United States FDA Office of Device Evaluation
  • -- United Stated Pharmacopeia (USP)

Material biocompatibility issues have been addressed based upon biomaterial history or in separate in vitro or in vivo laboratory evaluations using licensed commercial reference

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Image /page/2/Picture/0 description: The image shows the Hollister brand logo. The logo consists of a geometric symbol on the left and the word "Hollister" on the right. The geometric symbol is a stylized, abstract design, possibly representing a woven pattern or a snowflake. The word "Hollister" is written in a serif font.

Hollister Incorporated Vaginal Stimulation/EMG Probe - Small

K970602

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laboratories. Specific test methodology has been chosen, where appropriate, from test protocols established or recommended by the aforementioned agencies or organizations. Product use conditions have been mimicked in testing procedures where possible. These evaluations have been contracted either by Hollister or the suppliers of the materials.

Based upon the results of this assessment, the materials used to fabricate Vaginal Stimulation Probe - Small are considered biocompatible and appropriate for their intended use.

8. Conclusion

Based upon the information presented above it is concluded that the proposed Vaginal Stimulation/EMG Probe - Small is safe and effective for its intended use and is substantially equivalent to the predicate device.

§ 876.5320 Nonimplanted electrical continence device.

(a)
Identification. A nonimplanted electrical continence device is a device that consists of a pair of electrodes on a plug or a pessary that are connected by an electrical cable to a battery-powered pulse source. The plug or pessary is inserted into the rectum or into the vagina and used to stimulate the muscles of the pelvic floor to maintain urinary or fecal continence. When necessary, the plug or pessary may be removed by the user. This device excludes an AC-powered nonimplanted electrical continence device and the powered vaginal muscle stimulator for therapeutic use (§ 884.5940).(b)
Classification. Class II (performance standards).