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510(k) Data Aggregation

    Why did this record match?
    Applicant Name (Manufacturer) :

    ATMOS MedizinTechnik GmbH & Co. KG

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

    The ATMOS C 051 Thorax is indicated for aspiration and removal of surgical fluids, tissue, gases, bodily fluids, or infectious material from a patient's respiratory system after surgery. The general indication of the ATMOS C 051 Thorax is thoracic drainage.

    Device Description

    The ATMOS C 051 Thorax (317.0200.0) drainage system is a device for mobile, digital thoracic drainage. It is portable, mains-independent and has an electronic monitoring system with optical and acoustic display. The device takes medical effect as a system in combination with a secretion canister and a hose system. The system creates the (natural) vacuum in the pleural cavity by draining off air and secretion. The ATMOS C 051 Thorax is equipped with a rechargeable battery. A charging unit which is located within the suction device guarantees the secure charging of the battery. The hose system is rinsed with air at regular intervals to prevent the collection of debris in the hose. Bacterial and viral filters in the secretion canister and measuring hose prevent contaminated secretions from entering the device. The device is equipped with a disposable strap and a carrying handle. These enable mobility. A universal bracket or the standard rail bracket can be ordered separately as accessories. The ATMOS C 051 Thorax is a reusable device delivered in non-sterile state. The secretion canister and hose systems are single-use devices and delivered sterile. All other accessories subject to this submission are reusable and delivered non-sterile.

    AI/ML Overview

    The provided document is a 510(k) clearance letter from the FDA for a medical device called "ATMOS C 051 Thorax," a powered suction pump for thoracic drainage. While it discusses performance tests and adherence to various standards, it does not contain the detailed clinical study data typically found in a clinical trial report or a comprehensive technical submission.

    Therefore, I cannot extract answers for many of your specific questions related to acceptance criteria, ground truth, expert qualifications, adjudication methods, MRMC studies, or training set details from this document. The document primarily focuses on demonstrating substantial equivalence to a predicate device through non-clinical performance bench testing, software validation, biocompatibility testing, human factors validation, and risk management.

    However, I can provide information on what is explicitly stated or can be inferred from the document regarding the acceptance criteria and the nature of the study.

    Here's what can be extracted:

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

    The document mentions that "Performance tests were carried out to ensure that the subject device functions as intended and meet design specifications." and "Risk analysis was carried out based on acceptance criteria established in accordance with ISO 14971." However, the specific numerical acceptance criteria or the direct reported performance values for each criterion are NOT provided in this summary.

    The document lists the following categories of performance tests conducted with "no unexpected results or significant deviations":

    Acceptance Criteria Category (Details Not Provided)Reported Device Performance (Qualitative)
    Electrical, Mechanical, and Thermal Safety (in accordance with AAMI/ANSI and IEC 60601 standards)Successfully tested and complies with IEC 60601-1, IEC 60601-1-2, and IEC 60601-4-2.
    Software Validation (in accordance with FDA guidance "Content of Premarket Submissions for Device Software Functions," June 14, 2023)Performed, documentation level "enhanced," cybersecurity aspects followed FDA guidance.
    Biocompatibility Testing (according to ISO 10993-1 and FDA guidance)Performed (details not explicitly stated).
    Performance Bench Testing:"No unexpected results or significant deviations."
    - Maximum flow rate(Specific values not provided)
    - Function and accuracy of flow display(Specific values not provided)
    - Minimum to maximum vacuum(Specific values not provided)
    - Function, accuracy and control delay of vacuum display(Specific values not provided)
    - Battery operation at full power mode(Specific values not provided)
    - Battery charge time(Specific values not provided)
    - Over suction protection(Specific values not provided)
    - WeightSubject device: 1.16 kg (predicate: 3.27 kg)
    - Alarm sound and noise level(Specific values not provided)
    - Length of hose system(Specific values not provided)
    Human Factors Validation (in accordance with IEC 62366-1, IEC 60601-1-6, and FDA guidance)"Use of the device is safe, especially with regard to the use by lay persons. The residual risks that remain...have been reviewed and determined to be acceptable."
    Risk Management (in accordance with ISO 14971:2019)"Overall benefits of using the device outweigh the risks. The device is safe and effective for use in the intended patient population."
    Reprocessing, Sterility, and Shelf-Life (for certain components)Cleaning and disinfecting procedures described. Sterile validation performed for secretion canister and hose systems according to ISO 11135.

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

    The document primarily describes bench testing and validation activities rather than a typical clinical study with a "test set" of patient data. Therefore, the concept of sample size as it applies to patient data is not relevant here. The "tests" refer to engineering and quality assurance activities. No country of origin for data or retrospective/prospective nature is mentioned as it's not a clinical data study.

    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 provided as there is no mention of clinical "ground truth" derived from expert interpretation in this document. The tests performed are technical and engineering-focused (e.g., flow rates, vacuum levels, battery performance), with human factors validation likely involving usability experts or human factors engineers, but their specific qualifications and number are not detailed.

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

    This information is not provided as it's relevant for clinical adjudication of medical images or diagnoses, not for the technical bench testing described.

    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 MRMC study was conducted or mentioned. This device is a powered suction pump, not an AI-assisted diagnostic tool.

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

    This question is not applicable. The device is a physical medical device (suction pump), not a software algorithm or AI.

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

    The "ground truth" for the tests mentioned are engineering specifications, international standards (IEC, ISO), and regulatory guidance documents (FDA guidance). For example, for flow rate, the "ground truth" would be the measured flow rate compared against the predefined design specification. For human factors, it would be the assessment of safety and effectiveness of use against defined usability goals and risk analysis.

    8. The sample size for the training set

    This question is not applicable. This is not an AI/machine learning device, so there is no "training set."

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

    This question is not applicable for the reason stated above.

    In summary, the provided document details a 510(k) submission for a non-AI medical device (powered suction pump). The "studies" proving it meets acceptance criteria are predominantly non-clinical bench tests and validation activities against established engineering specifications, international standards, and regulatory guidelines, rather than clinical trials that generate patient data and require expert ground truth establishment.

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    K Number
    K232015
    Date Cleared
    2023-08-03

    (28 days)

    Product Code
    Regulation Number
    874.4760
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    ATMOS MedizinTechnik GmbH & Co. KG

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

    ATMOS Scope is used for endoscopic diagnosis within the nasal lumens and airway anatomy and is intended to provide visualization via a monitor. The ATMOS Scope may only be used by persons with an appropriate medical qualification and who are acquainted with the rhino/laryngoscopic technique.

    Device Description

    The ATMOS Scope is a flexible nasopharyngo laryngoscope for endoscopic diagnosis within the nasal lumens and airway anatomy. The device is an electrical device and consists of a handle for the user and a flexible, steerable part that is inserted into the patient. The deflection lever can be easily operated with the thumb and enables precise control of the endoscope tip at an angle of 2 x 135°. This makes it easy to examine even hard-to-reach regions in the nose, or throat. The device contains two integrated LED light sources that provide bright and homogeneous illumination in the complete field of view. With the help of a 1280 x 800-pixel image sensor at the flexible part and the electronics built into the handle, a digital image is generated. For taking and saving photos and videos, the ATMOS Scope has two separate function keys located directly on the handle. This can be displayed as the endoscopic image on a connected PC with video software. The endoscopic image is used for visual diagnostics by the user. The ATMOS Scope is delivered in a non-sterile condition.

    AI/ML Overview

    The provided text describes the ATMOS Scope, a flexible nasopharyngo laryngoscope, and its equivalence to a predicate device (Schoelly CMOS Video Nasopharyngoscope System K143673). However, the document does not contain information typically associated with acceptance criteria and a study design for evaluating the diagnostic performance of a medical device using an AI component.

    Instead, the provided text focuses on demonstrating substantial equivalence through comparisons of technical characteristics and various non-clinical performance tests. These tests are primarily related to safety, functionality, and manufacturing compliance, rather than diagnostic accuracy or effectiveness in a clinical context that would require a human-in-the-loop or standalone AI performance study.

    Therefore, I cannot directly answer your questions in the requested format as the provided document does not include such a study or information.

    Here's what I can extract based on the document:

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

    The document does not provide a table of acceptance criteria for diagnostic performance or reported performance in terms of diagnostic metrics (e.g., sensitivity, specificity, AUC). Instead, it lists various technical parameters and confirms successful testing against standards.

    Acceptance Criteria CategoryReported Device Performance Summary
    Indications for Use"ATMOS Scope is used for endoscopic diagnosis within the nasal lumens and airway anatomy and is intended to provide visualization via a monitor." (Identical to predicate)
    DesignFlexible and steerable fiberoptic endoscope for diagnostic purposes (Identical to predicate)
    MaterialHandle: aluminum; Insertion tube: PEEK, FKM, TPU, sapphire glass (Identical to predicate)
    Chip-on-TipCMOS image sensor at the tip of the insertion tube (Identical to predicate)
    IlluminationLED (2 LEDs) (Identical to predicate)
    Deflection2 x 135° (Identical to predicate)
    Weight0.4 kg (Identical to predicate)
    USB ConnectionYes (Identical to predicate, though direct connection to PC vs. via CCU is a difference)
    Focus Range6 - 60 mm (Identical to predicate)
    Delivery StatusNon-sterile (Identical to predicate)
    Image Sensor Resolution1280 x 800 pixels (Higher than predicate's 328 x 250 pixels); Justification: provides optimized view, not a negative impact on safety/effectiveness.
    Field of view90° (Larger than predicate's 85°); Justification: provides optimized view, not a negative impact on safety/effectiveness.
    StroboscopyNot supported (Removed feature from predicate due to patient complaints).
    SterilizationValidated for Low-Temperature Hydrogen Peroxide Gas Sterilization and SYSTEM 1E® Liquid Chemical Sterilant Processing System (differs from predicate's ethylene oxide); Validation tests performed according to FDA recognized standards.
    ReprocessingManual cleaning with MetriZyme™ or Cidezyme, and manual high-level disinfection with CIDEX® OPA (differs from predicate's listed solutions); Validation performed by AAMI TIR 30: 2011 and ASTM E 1837-96 (2014).
    Human FactorsSuccessfully tested regarding dimensions (length, diameter, deflection/angle) and requirements for basic safety and essential performance of endoscopic equipment per IEC 60601-2-18. Ergonmics of patient and user interfaces are equivalent to the predicate device.
    Optical Performance & Photobiological SafetyEvaluation per IEC 62471:2006, LEDs classified in risk group 2. Measurements prove photobiological safety and no risk/hazard from light source.
    BiocompatibilityEvaluation performed to comply with ISO 10993-1:2018 and FDA Guidance Documents. Effectiveness confirmed.
    Electrical Safety & EMCTests performed per IEC 60601-1:2005 (Electrical Safety) and IEC 60601-1-2 Edition 4.0 2014-02 (EMC). All risk-based requirements and acceptance criteria were defined and met.
    Software V&VEmbedded software does not provide support for basic safety or essential performance. Failure does not lead to risk. All firmware functions validated; requirements traceability matrix documented. USB connection checked for configuration, device name, and live image broadcast. All firmware tests passed successfully.
    LabelingIn compliance with ANSI ISO 15223-1 3rd edition 2016-11-01.

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

    Not applicable. The document describes non-clinical performance and safety testing. There is no mention of a test set for diagnostic performance or data provenance for such a study.

    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)

    Not applicable. There is no mention of a test set for diagnostic performance or experts establishing ground truth. The device provides "visualization via a monitor" for "visual diagnostics by the user," implying human interpretation, but no study is detailed to quantify this diagnostic performance.

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

    Not applicable. No diagnostic performance test set or adjudication method is described.

    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. The ATMOS Scope is a visualization device, not an AI-assisted diagnostic tool. No MRMC study or AI assistance is mentioned.

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

    Not applicable. The device is a direct visualization tool. There is no AI algorithm component described for standalone performance evaluation.

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

    Not applicable. No diagnostic performance study requiring ground truth is described.

    8. The sample size for the training set

    Not applicable. There is no mention of an AI component or a training set for machine learning.

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

    Not applicable. No AI component or training set is mentioned.

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