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510(k) Data Aggregation

    K Number
    K093855
    Date Cleared
    2010-01-15

    (30 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    HALO360 + Sizing Balloon model 3441C is indicated for the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO360+ Sizing Balloon model 3441C is used in conjunction with either the HALO360 Energy Generator models 1100C-115B (or 1100C-230B), or HALORLEX Energy Generator model 1190A-115A (or 1190A-230A) for assessing the size of the esophageal lumen, and facilitate the selection of the disposable single-use HALO360+ Coagulation Catheter. The HALO360+ Sizing Balloon model 3441C, like the predicate device HALO360 Sizing Balloon model 3441B is comprised of a sizing balloon, a catheter shaft with markings, and an electrical connector.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Sizing accuracyMet the same specifications as predicate devices.
    Structural strengthMet the same specifications as predicate devices.
    Material compatibilityMet the same specifications as predicate devices.
    SterilityMet the same specifications as predicate devices.
    Esophageal diameter measurement capabilityIncreased to measure diameters higher than 33.7 mm (allowing identification of migration into the stomach).

    Note: The document explicitly states the modified device "met the same specifications requirements as the HALO360 Sizing Balloon and HALO360+ Ablation Catheter" for the first four criteria. The fifth criterion is a noted improvement in capability.

    2. Sample Size Used for the Test Set and Data Provenance

    The provided text does not contain information regarding the sample size used for the test set or the data provenance (e.g., country of origin, retrospective or prospective nature of the data). The information provided focuses on the device's technical specifications and a comparison to predicate devices, rather than a clinical study.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

    The provided text does not contain information about the number of experts used or their qualifications to establish ground truth. As this appears to be a submission based on engineering and performance criteria for substantial equivalence, clinical expert assessment for ground truth is not detailed.

    4. Adjudication Method

    The provided text does not contain information about any adjudication method.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done or at least not mentioned in the provided text. The submission focuses on demonstrating substantial equivalence based on material and performance specifications, not on comparing human reader performance with or without AI assistance.

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

    This question is not applicable. The HALO360+ Sizing Balloon is a medical device, not an AI algorithm. Therefore, a standalone performance study in the context of AI is not relevant. The device itself is designed to be used by a human operator (a physician) to size the esophagus and select a coagulation catheter.

    7. The Type of Ground Truth Used

    The "ground truth" for the device's performance appears to be established through engineering specifications and testing based on the predicate devices. For example, "sizing accuracy" would be compared against a known, precise measurement standard in a laboratory or simulated environment, rather than a clinical ground truth like pathology or outcomes data.

    8. The Sample Size for the Training Set

    The provided text does not contain information about a training set since this is not an AI/machine learning device. The testing described appears to be for device validation against established specifications.

    9. How the Ground Truth for the Training Set was Established

    This question is not applicable as there is no mention of a training set for an AI algorithm.

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    K Number
    K093008
    Date Cleared
    2010-01-08

    (102 days)

    Product Code
    Regulation Number
    878.4400
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HALO® System (including HALO® Ablation Catheter model 90-9100 and HALO® Energy Generator model 90-9000) is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's esophagus, Dieulafoy Lesions, Angiodysplasia, Gastric Antral Vascular Ectasia (GAVE) and Radiation Proctitis (RP).

    Device Description

    The HALO® Ablation Catheter model 90-9100 operates in conjunction with HALO® Energy Generator model 90-9000. There are no changes to the HALO® Ablation Catheter or HALO® Energy Generator implemented since the devices were cleared by K083737, K062723 and K062441. The product is also identical in principle of operation and energy density to the treatment site with the predicate devices HALO360 Ablation Catheter, Stellartech Coagulation Catheter. HALO® is substantially equivalent in construction with the predicate devices HALO360 Ablation Catheter, Stellartech Coagulation Catheter and Microvasive Gold Probe. The product is similar in performance with Olympus Heat Probe.

    AI/ML Overview

    The provided 510(k) summary for BARRX's HALO System (K093008) indicates that no new performance testing was conducted for this submission.

    The submission focuses on expanding the indications for use for the HALO® Ablation Catheter to include Gastric Antral Vascular Ectasia (GAVE) and Radiation Proctitis (RP) based on the substantial equivalence to previously cleared devices and existing clinical data.

    Therefore, the following information cannot be extracted from the provided text as the study described is a review of existing clinical data, not a new performance study with acceptance criteria.

    1. A table of acceptance criteria and the reported device performance: Not applicable, as no new performance testing was conducted.
    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective): Not applicable for new performance testing. The clinical data supporting the expanded indications was "derived from publications and case studies." The provenance details are not specified.
    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, as no new test set was created with expert-established ground truth.
    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
    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, as this is not an AI/device assisting human readers.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc): For the expanded indications, the clinical data relied upon was from "publications and case studies" which demonstrated the safety and effectiveness of the device when used for GAVE and RP. This implies that outcomes data from these existing sources served as the basis for substantiating safety and effectiveness for these new indications.
    8. The sample size for the training set: Not applicable, as no new training set was explicitly mentioned for algorithmic development in this submission.
    9. How the ground truth for the training set was established: Not applicable.

    Summary of the study that proves the device meets the acceptance criteria (expanded indications):

    The submission argues for the substantial equivalence of the HALO® Ablation Catheter for the treatment of GAVE and RP by referencing:

    • Technological Identity and Substantial Equivalence: The HALO® Ablation Catheter model 90-9100 is "technologically identical" to its cleared predicate (K083737, K062723). It also highlights substantial equivalence in principle of operation, energy density, construction, and performance with other predicate devices (HALO360 Ablation Catheter, Stellartech Coagulation Catheter, Microvasive Gold Probe, Olympus Heat Probe).
    • Clinical Data Review: Clinical data was provided to FDA "to support the changes in the Instructions for Use associated with the use in the coagulation of bleeding sites for the HALO® Ablation Catheter for the treatment of GAVE and Radiation Proctitis." This data "demonstrated that, when used in accordance with those instructions, the HALO® Ablation Catheter used for the treatment of GAVE and Radiation Proctitis respectively is at least as safe and effective as the cleared HALO® Ablation Catheter for the treatment of bleeding sites in the gastrointestinal tract."
    • Basis of Clinical Data: The clinical data supporting the additional indications (GAVE and RP) was "derived from publications and case studies" and facilitated "Physician's Instructions recommending specific treatment settings and selection criteria for the patients (Contraindications, Warnings and Cautions)."
    • Similarity of Conditions: GAVE and RP are described as being similar to other already indicated bleeding conditions (esophageal ulcers, Mallory-Weiss tears, etc.) in that they are confined to the mucosal layer, associated with hemorrhage, and treated with coagulative therapy.

    In essence, the "study" proving the device meets the acceptance criteria for expanded indications was a retrospective review of existing clinical data from publications and case studies, and an argument for substantial equivalence to previously cleared predicate devices for similar applications. No new pre-market performance study with defined acceptance criteria was conducted.

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    K Number
    K092487
    Date Cleared
    2009-11-10

    (89 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HALOFLEX Energy Generator is indicated for use for the coagulation of soft tissue.

    The HALOFLEX Energy Generator is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including, but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALOFLEX Energy Generator is a modification to the HALO360 Energy Generator and HALO® Energy Generators that have already been cleared by the Food and Drug Administration ("FDA" or the "Agency") for use in coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to the esophagus (K051168 and K060169, K062441 respectively). The Generator has the same intended use and fundamental scientific technology as the cleared HALO360 and HALO90 Energy Generators. In addition, the intended use was expanded to include "coagulation of soft tissue", for this indication for use the predicate device is the RF 3000 Radiofrequency Generator (K000241).

    The design changes between the HALO360 and HALO® Energy Generators and the HALOFLEX Energy Generator do not affect the clinical parameters employed in the energy delivery or the safety mechanisms that control those parameters.

    The HALOFLEX Energy Generator has a limited number of design changes compared to the predicate devices. These changes are minor and do not raise no questions or effectiveness. Further, bench testing demonstrated comparable performance and safety. These modifications were as follows:

    • Add to the indications for use the "coagulation of soft tissue", to reflect the . general nature of the device.
    • Modification of the CPU board, for increased memory .
    • Consolidation of the Pressure Monitoring Board and RF MUX Board in the Hand Piece Interface Board
    • Integration on the HALO360 and HALO90 Energy Generators on the same . hardware platform as HALO360 Energy Generator
    • . Update the software codes to reflect the specific performance characteristics for each Energy Generator.
    • Optimization of components for reliability, and/or obsolescence
    AI/ML Overview

    Here's an analysis of the provided text regarding the HALOFLEX Energy Generator, addressing the specific points requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided 510(k) summary for the HALOFLEX Energy Generator does not explicitly define quantitative acceptance criteria or provide specific numerical device performance metrics in the way one might expect for a diagnostic or AI-driven device.

    Instead, the submission relies on the concept of substantial equivalence to predicate devices. This means the acceptance criteria are implicitly that the HALOFLEX Energy Generator performs at least as safely and effectively as the predicate devices.

    Acceptance Criterion (Implicit)Reported Device Performance
    Safety equivalent to predicate devicesPerformance data demonstrated that, when used in accordance with the instructions, the HALOFLEX is at least as safe as the predicate devices (HALO360 and HALO90 Energy Generators).
    Effectiveness equivalent to predicate devicesPerformance data demonstrated that, when used in accordance with the instructions, the HALOFLEX is at least as effective as the predicate devices (HALO360 and HALO90 Energy Generators).
    Technological characteristics equivalent to predicate devicesSame intended use, fundamental scientific technology, and principles of operation as predicate devices. Minor design changes do not affect clinical parameters or safety mechanisms.
    No new issues of safety or effectivenessMinor technological differences raise no new issues of safety or effectiveness.
    Compliance with applicable international and domestic requirementsPerformance testing conducted in compliance with applicable international and domestic requirements and certifications for harmonized standards.

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not specify a "test set" in the context of a clinical study with a defined sample size. The performance data mentioned refers to "bench testing" and compliance with standards rather than a clinical trial where patients or specific datasets are evaluated.

    Therefore:

    • Sample size for the test set: Not applicable/Not provided. The submission focuses on substantial equivalence through design and bench testing, not a clinical test set.
    • Data provenance: Not explicitly stated as retrospective or prospective clinical data. The "bench testing" implies laboratory-based data, not patient data from a specific country of origin.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

    This information is not applicable/not provided. The submission does not describe a process of establishing ground truth by medical experts for a test set, as it is not a diagnostic device requiring such evaluation. The safety and effectiveness are established through comparison with predicate devices and bench testing.

    4. Adjudication Method for the Test Set

    This information is not applicable/not provided. There is no described "test set" or clinical evaluation requiring adjudication by experts.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No, an MRMC comparative effectiveness study was not done. This type of study is typically conducted for diagnostic devices (e.g., imaging software) to evaluate interpretative performance by human readers with and without AI assistance. The HALOFLEX Energy Generator is a therapeutic device (electrosurgical coagulation system), and its evaluation focuses on safety, fundamental scientific technology, and equivalent performance to existing devices, not on improving human reader performance.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    The concept of "standalone performance" for an algorithm is not applicable to the HALOFLEX Energy Generator. This device is an energy generator for electrosurgical coagulation, which is inherently a human-in-the-loop therapeutic procedure. Its performance is evaluated on its ability to deliver energy safely and effectively, not as an autonomous algorithm. The "performance data" mentioned refers to bench testing to ensure the device's functional integrity.

    7. The Type of Ground Truth Used

    The concept of "ground truth" as typically applied to diagnostic algorithms (e.g., pathology, expert consensus on imaging) is not directly applicable here. The "ground truth" for affirming the device's safety and effectiveness relies on:

    • Bench testing results: Demonstrating compliance with engineering specifications and safety standards.
    • Comparison to predicate devices: The established safety and effectiveness of the existing HALO360, HALO90, and RF 3000 generators serve as a de facto "ground truth" for what is considered safe and effective performance for this class of device.
    • Regulatory standards: Compliance with international and domestic requirements acts as a standard for acceptable performance.

    8. The Sample Size for the Training Set

    This information is not applicable/not provided. The HALOFLEX Energy Generator is a hardware device with embedded software, not a machine learning model that undergoes "training" on a dataset. The software updates mentioned are for "specific performance characteristics" and "optimization of components," not for an AI algorithm trained on a dataset.

    9. How the Ground Truth for the Training Set Was Established

    This information is not applicable/not provided for the same reasons as point 8.

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    K Number
    K083737
    Date Cleared
    2009-02-10

    (56 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HALO® System (inclusive of the HALO® Ablation Catheter) is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO90 System consists of the following components:

    • HALO" Energy Generator model 1100C-115C and 90-9100 and . accessories (output cable, and an optional footswitch).
    • A single use HALO90 Ablation Catheter model 90-9100 .
      The HALO® System performance and mode of operation did not change. This 510 (k) addresses the name change for the catheter.
      There are no changes in construction, materials, principle of operation, intended use and indications for use, for the HALO® Ablation catheter model 90-9100 when compared with the predicate device HALO® Coagulation Catheter model 90-9100.
      The following changes are subject to this 510k submission: HALO® Coagulation Catheter model 90-9100 was marketed in Europe and Canada as HALO90 Ablation Catheter, under the same indications for use for tissue coagulation. For unifying the international and domestic labeling we request FDA to allow the name change for HALO® Coagulation Catheter to HALO90 Ablation Catheter. There are no changes associated with the intended use, indication for use or the principle of operation.
      There are no changes associated to the HALO® Energy Generator software, hardware and accessories.
    AI/ML Overview

    The provided text describes a 510(k) submission for the BARRX Medical HALO® Ablation Catheter. However, it does not contain information regarding acceptance criteria or a study that proves the device meets specific performance criteria.

    The 510(k) summary explicitly states:
    "The HALO® System performance and mode of operation did not change. This 510 (k) addresses the name change for the catheter."
    and
    "There are no changes in construction, materials, principle of operation, intended use and indications for use, for the HALO® Ablation catheter model 90-9100 when compared with the predicate device HALO® Coagulation Catheter model 90-9100."
    and
    "There are no differences were evaluated on bench and did not raise questions regarding safety and efficacy. Thus the devices are equivalent."

    This submission is solely about a name change for an already cleared device ("HALO® Coagulation Catheter" to "HALO90 Ablation Catheter") to unify international and domestic labeling. Therefore, no new performance studies or acceptance criteria are presented for this specific submission as the device itself is considered identical to its predicate.

    As a result, I cannot populate the requested table or provide information about sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, ground truth types, or training set details because this data is not present in the provided document. The 510(k) relies on the substantial equivalence to the predicate device, K062723, which would have had such studies.

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

    The HALO360+ Ablation Catheter intended use is for the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract.

    The HALO360+ Ablation Catheter is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO360 System consists of the following components:

    • HALO360 Energy Generator model 1100C-115B and 1100C-230B . and accessories (output cable, and an optional footswitch).
    • A single use HALO360 Sizing Balloon model 3441B,
    • A single use HALO360+ Ablation Catheter model 32041-xx with an optional accessory HALO Cap

    The HALO360 System performance and mode of operation did not change. This 510 (k) addresses the addition of the optional accessory HALO Cap.

    There are no changes in construction, materials, principle of operation, intended use and indications for use, for the HALO360+ Ablation catheter model 32041-xx when compared with the predicate device HALO360+ Coagulation Catheter model 32041-xx. The following changes are subject to this 510k submission:

    • Based on feedback received from the physician-user, BARRX Medical identified the need for an optional accessory HALO Cap for the use with HALO30 + Coagulation Catheter. This accessory will-facilitate removal of biological debris.after treatment and as result minimize the time;of the ¿ procedure.
    • HALO360+ Coagulation Catheter model 32041-xx was marketed in Europe and Canada as HALO360+ Ablation Catheter, under the same indications for use for tissue coagulation. For unifying the international and domestic labeling we request FDA to allow the name change for HALO360+ Coagulation Catheter to HALO360+ Ablation Catheter. There are no changes associated with the intended use, indication for use or the principle of operation.
    AI/ML Overview

    This 510(k) summary (K083711) for the BARRX Medical HALO360+ Ablation Catheter does not describe a study to prove acceptance criteria with specific performance metrics. Instead, it focuses on demonstrating substantial equivalence to predicate devices for a modified version of an existing device.

    Here's an breakdown of why the requested information cannot be fully provided from this document and what can be extracted:

    The primary purpose of this 510(k) submission is to:

    1. Introduce an optional accessory, the HALO Cap, for the HALO360+ Ablation Catheter to facilitate debris removal and reduce procedure time.
    2. Change the device name from "HALO360+ Coagulation Catheter" to "HALO360+ Ablation Catheter" for international and domestic labeling consistency.

    The submission explicitly states: "All these differences were evaluated on bench and did not raise questions regarding safety and efficacy. Thus the devices are equivalent." This indicates that the regulatory pathway relied on demonstrating that the changes did not negatively impact the existing device's safety and efficacy, rather than conducting a new clinical study to establish performance against pre-defined acceptance criteria for the entire device.

    Therefore, many of the requested details related to a clinical study (like sample size, ground truth, expert qualifications, adjudication, MRMC studies, or standalone performance) are not present in this document because such a study was not deemed necessary for this particular submission.


    Here's what can be extracted and inferred from the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Not directly applicable. Since this 510(k) is for demonstrating substantial equivalence based on minor modifications (an accessory and a name change), there are no specific, quantitative acceptance criteria and corresponding performance metrics presented in this document for the device as a whole or for the new accessory's performance. The "acceptance criteria" here implicitly relate to demonstrating that the addition of the HALO Cap does not degrade the safety and effectiveness of the existing device.

    Acceptance CriteriaReported Device Performance
    Implicit: No adverse impact on existing safety and efficacy of the HALO360+ Ablation Catheter due to:Claimed: "All these differences [inclusion of HALO Cap, name changes] were evaluated on bench and did not raise questions regarding safety and efficacy. Thus the devices are equivalent."
    1. Inclusion of optional HALO Cap accessoryBench testing indicated no safety/efficacy concerns.
    2. Name change from "Coagulation Catheter" to "Ablation Catheter"No change in intended use, indications for use, or principle of operation.

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size: Not applicable/Not specified. The document states "evaluated on bench," implying non-clinical testing rather than patient-based clinical testing. No specific number of samples or tests is provided.
    • Data Provenance: Not applicable. The evaluation was "on bench," suggesting laboratory or engineering testing, not data from human subjects or clinical settings, either retrospective or prospective.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

    • Not applicable. No expert ground truth establishment for a test set is described. The evaluation was "on bench," likely performed by engineers or technical personnel rather than clinical experts establishing ground truth in a diagnostic context.

    4. Adjudication Method for the Test Set

    • Not applicable. No adjudication method is described, as there was no clinical test set requiring expert consensus.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    • No. An MRMC study was not conducted or mentioned. This type of study focuses on human reader performance with and without AI, which is not relevant to this submission for a physical device and its accessory.

    6. If a Standalone (Algorithm Only) Performance Study Was Done

    • No. This device is a physical electrosurgical catheter, not an algorithm. Therefore, a standalone algorithm performance study is not applicable.

    7. The Type of Ground Truth Used

    • Not applicable. Given that the evaluation was "on bench" for changes to a physical device and an accessory, the "ground truth" would likely relate to engineering specifications, material properties, electrical performance, and mechanical function, rather than clinical outcomes, pathology, or expert consensus. No specific type of "ground truth" (e.g., pathology, outcomes) is mentioned.

    8. The Sample Size for the Training Set

    • Not applicable. This submission is for a physical medical device and an accessory, not a machine learning algorithm that requires a training set.

    9. How the Ground Truth for the Training Set Was Established

    • Not applicable. As above, no training set or associated ground truth establishment is relevant to this device submission.
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    K Number
    K082202
    Date Cleared
    2008-10-08

    (64 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HALO360 Energy Generator intended use is for the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract.

    The HALO360 Energy Generator is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO360 Coagulation System consists of the HALO360 Energy Generator model 1100C-115B with a disposable single-use HALO®60 Coagulation Catheter, output cable, and an optional footswitch. The HALO360 Coagulation System performance and mode of operation is substantially equivalent to the already cleared HALO360 Coagulation System, and Stellartech Coagulation System 2.

    There are no changes associated to the HALO360+ Coagulation Catheter.

    The HALO360 Energy Generator model 1100C-115B is configured with an output cable (model CCC-001B), an optional footswitch (model FS-100B), and a power cord.

    There are no changes to the hardware associated to HALO360 Energy Generator cleared by the 510(k) K050831 and K051168. There are minor changes implemented to the software version of the generator.

    This submission addresses software changes for HALO360 Energy Generator cleared by the 510(k) K050831 and K051168. These minor changes implemented to the software version of the generator did not raise any new questions of safety or efficacy.

    AI/ML Overview

    This 510(k) summary describes a device modification, not a study establishing new acceptance criteria or performance. Therefore, most of the requested information regarding acceptance criteria, study design, and performance metrics is not present in the provided document.

    The submission focuses on minor software changes to the HALO360 Energy Generator and demonstrates substantial equivalence to previously cleared devices. It confirms that "These minor changes implemented to the software version of the generator did not raise any new questions of safety or efficacy."

    Here's a breakdown of what can be extracted from the document based on your request:

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

    This information is not provided in the document. The submission states that the differences were evaluated on bench, implying functional testing was performed to ensure the software changes did not negatively impact performance, but specific acceptance criteria and detailed performance results are not reported. The primary claim is substantial equivalence based on the absence of new safety or efficacy questions.

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

    This information is not provided in the document. The document refers to "bench" evaluation, which typically involves laboratory testing rather than testing on a "test set" of patient data as might be relevant for AI/diagnostic devices.

    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 in the document. This is not applicable as the submission is about a software update for an electrosurgical generator, not a diagnostic device requiring expert interpretation for ground truth.

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

    This information is not provided in the document and is not applicable for this type of device modification 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

    This information is not provided in the document and is not applicable. The device is an energy generator for coagulation, not an AI-powered diagnostic or assistive tool for human readers.

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

    This information is not provided in the document. This is not directly applicable. The device is a hardware generator with software control, not a standalone algorithm. Its performance is demonstrated through its function, not through an "algorithm only" evaluation in the context of an AI device.

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

    This information is not provided in the document. The ground truth for such a device would typically be its ability to perform its intended coagulation function safely and effectively, which would be assessed through engineering and bench testing, not expert consensus or pathology in this context.

    8. The sample size for the training set

    This information is not provided in the document. This concept is not applicable as the device is not an AI algorithm that undergoes "training" on a dataset in the conventional sense. The "software changes" were likely developed and tested internally rather than trained on a distinct dataset.

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

    This information is not provided in the document and is not applicable.

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    K Number
    K080557
    Date Cleared
    2008-04-02

    (34 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HALO366 Coagulation Catheter is intended for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract.

    The HALO360 Coagulation Catheter is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO360 Coagulation System consists of the HALO300 Energy Generator with a disposable single-use ablation catheter HALO360+ Coagulation Catheter and HALO360 Coagulation Catheter, a HALO300 Sizing Balloon, an output cable, and an optional footswitch. The HALO360 Coagulation Catheter comprises models 31041-XX and 32041-XX equivalent in performance and mode of operation. There are no changes to the design, principle of operations for any of the products included in the HALO360 System.

    AI/ML Overview

    I am sorry, but the provided text does not contain information about acceptance criteria or a study proving that Barrx Medical's HALO360 Coagulation Catheter and HALO360+ Coagulation Catheter meet such criteria.

    The document is a 510(k) summary for a premarket notification to the FDA. It does contain:

    • Device Name: HALO360 Coagulation Catheter and HALO360+ Coagulation Catheter.
    • Intended Use/Indications for Use: Coagulation of bleeding and non-bleeding sites in the gastrointestinal tract, including specific conditions like Esophageal Ulcers, Mallory-Weiss tears, etc.
    • Technological Characteristics: Describes the system components (Energy Generator, disposable catheters, sizing balloon, cable, footswitch) and states no changes to design or principle of operations.
    • Substantial Equivalence: The submission is primarily about Instructions for Use (IFU) changes (adding a contraindication for "Eosinophilic esophagitis" and clarifying instructions) for devices that did not undergo product or process changes. It asserts that these changes do not affect device use or performance and do not raise questions about safety and efficacy, thus concluding substantial equivalence to existing predicate devices (K071543 HALO360+ Coagulation Catheter and K062225 HALO360 Coagulation Catheter).
    • FDA Clearance: The letter from the FDA confirms market clearance based on substantial equivalence.

    The document explicitly states that the devices did not undergo any product or process changes and that the submission addresses only changes to the instructions for use. Therefore, there is no discussion of new acceptance criteria, performance studies, or data related to the device's technical specifications or clinical effectiveness to demonstrate meeting those criteria in this document.

    For the information you requested regarding acceptance criteria and performance studies, you would typically need to refer to a different type of document, such as a PMA (Premarket Approval) submission, clinical trial results, or a more detailed technical report which are not present in this 510(k) summary.

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    K Number
    K071543
    Date Cleared
    2007-06-29

    (24 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HALO360+ Coagulation Catheter model is intended for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract.

    The HALO360+ Coagulation Catheter is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO360 Coagulation System consists of the HALO460 Energy Generator with a disposable single-use HALO360+ Coagulation Catheter, a HALO300 Sizing Balloon, an output cable, and an optional footswitch. The HALO360 Coagulation System comprising catheter model 32041-XX performance and mode of operation is substantially equivalent to the already cleared HALO300 Coagulation System comprising catheter models 31041-XX and/or 31041-XXBR.

    AI/ML Overview

    This 510(k) submission (K071543) is for a medical device (HALO360+ Coagulation Catheter) and appears to be a substantial equivalence submission, rather than one providing detailed clinical study data with acceptance criteria and device performance metrics in the way that would typically be described for AI/CADe devices. This type of submission relies on demonstrating similarity to legally marketed predicate devices, and therefore, does not typically include the specific performance metrics, ground truth establishment, or reader studies requested in your prompt as these are more common for novel device performance claims.

    Here's a breakdown based on the provided document, addressing what can be found and noting what is absent:

    1. Table of Acceptance Criteria and Reported Device Performance

    This document does not contain a table of acceptance criteria or reported device performance for a clinical study in the context of diagnostic accuracy, sensitivity, specificity, etc., which would be typical for AI/CADe devices. This is a submission for a physical medical device (coagulation catheter) claiming substantial equivalence to existing devices. The evaluation focuses on changes in materials and manufacturing processes.

    2. Sample Size Used for the Test Set and Data Provenance

    Not applicable/Not provided. The submission states that "All these differences were evaluated on the bench and in the animal model." No details on the sample size of the animal model or data provenance are provided in this summary.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of those Experts

    Not applicable/Not provided. This type of evaluation for a physical device typically doesn't involve expert ground truth establishment for a test set in the same way an AI diagnostic device would.

    4. Adjudication Method for the Test Set

    Not applicable/Not provided.

    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 not an AI-assisted device.

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

    No. This is not an AI/algorithm-based device.

    7. The Type of Ground Truth Used

    The document mentions "bench and ... animal model" evaluations. For a physical device, the "ground truth" would relate to the physical and functional characteristics of the device (e.g., coagulation efficacy, safety parameters in an animal model) rather than diagnostic truth in patient data. Specific details are not provided in this summary.

    8. The Sample Size for the Training Set

    No training set is applicable as this is not an AI/machine learning device.

    9. How the Ground Truth for the Training Set was Established

    Not applicable.


    Summary of what is present:

    • Acceptance Criteria (Implied): The implied acceptance criteria for this 510(k) submission are that the changes in materials and manufacturing processes do not raise new questions of safety and efficacy compared to the predicate devices. The study performed ("bench and in the animal model") aimed to demonstrate that these changes maintain substantial equivalence in performance and safety.
    • Device Performance (Implied): The devices (new and predicate) are considered "equivalent," meaning the HALO360+ Coagulation Catheter performs similarly to the predicate devices in its intended use for coagulation.
    • Study Type: This appears to be a design verification and validation study, including bench testing and animal model testing, to confirm that the changes made (materials and manufacturing) do not negatively impact the device's safety and effectiveness compared to its predicates.

    Why this information is largely absent in the provided text:

    This 510(k) summary is for a physical medical device (a catheter) seeking clearance based on substantial equivalence to already cleared predicate devices. The "study" referenced ("bench and in the animal model") is to demonstrate that minor changes in materials and manufacturing processes do not alter the fundamental safety and effectiveness of the device as established by the predicates. This is fundamentally different from the rigorous clinical trial and performance metrics often required for novel devices, especially diagnostic AI tools, which necessitate detailed information on acceptance criteria, ground truth, reader studies, and sample sizes for various datasets.

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

    The HALO® Coagulation System intended use is for the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract.

    The HALO® Coagulation System is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO® Coagulation System consists of the HALO90 Energy Generator model 90-9000 with a disposable single-use HALO® Coagulation Catheter, output cable, and a footswitch. The HALO® Coagulation System performance and mode of operation is substantially equivalent to the already cleared HALO® Coagulation System, HALO360 Coagulation System, and Stellartech Coagulation System 2.

    The HALO® Energy Generator model 90-9000 is configured with an output cable (model 90-9010), a footswitch (model 90-9020) and a power cord.

    The HALO® Coagulation Generator supplies up to 150 watts of radiofrequency power at 460 kHz in a bipolar mode under power control while continuously monitoring and displaying power density, and energy density. Energy density and power are displayed to allow homogeneous energy delivery equivalent to the HALO90 Energy Generator model 1100C-115C.

    AI/ML Overview

    The provided text is a 510(k) summary for the BARRX Medical's HALO® Coagulation System. This type of submission focuses on establishing substantial equivalence to predicate devices rather than proving safety and effectiveness through clinical trials and detailed acceptance criteria studies.

    Therefore, the document does not contain the information requested regarding acceptance criteria studies, such as:

    • A table of acceptance criteria and reported device performance.
    • Sample sizes (for test or training sets), data provenance, number or qualifications of experts, or adjudication methods for establishing ground truth.
    • Information about multi-reader multi-case (MRMC) comparative effectiveness studies or standalone algorithm performance.
    • The type of ground truth used or how it was established for training sets.

    The submission primarily focuses on demonstrating that the technological characteristics of the new HALO90 Energy Generator are substantially equivalent to previously cleared predicate devices (HALO® Energy Generator model 1100C-115C, HALO360 Energy Generator model 1100C-115B, and Stellartech Coagulation System 2). The "study" mentioned is limited to bench testing to evaluate the differences in the new generator, such as:

    • Simplification of the generator and elimination of unused pneumatic systems.
    • Changes in hardware for optimum RF power output for the defined impedance range.
    • Minor modification of generator software.
    • Change of design and manufacturing facility.

    The document explicitly states: "All these differences were evaluated on bench and did not raise questions regarding safety and efficacy. Thus the devices are equivalent."

    Essentially, for a 510(k) submission, the "acceptance criteria" for the new device are that its performance, as demonstrated through bench testing (and sometimes limited clinical data if significant changes, though not explicitly detailed here), does not raise new questions of safety or effectiveness compared to the predicate device. The "study" proving this is often a comparison of technical specifications and performance characteristics through bench testing.

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    K Number
    K062723
    Date Cleared
    2006-11-09

    (58 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The HALO® Coagulation System is indicated for use in the coagulation of bleeding and non-bleeding sites in the gastrointestinal tract including but not limited to, the esophagus. Indications include Esophageal Ulcers, Mallory-Weiss tears, Arteriovenous Malformations, Angiomata, Barrett's Esophagus, Dieulafoy Lesions, and Angiodysplasia.

    Device Description

    The HALO90 Coagulation System consists of the HALO90 Coagulation Generator with a disposable single-use HALO90 Coagulation Catheter model 90-9100, output cable, and an optional footswitch. The HALO90 Coagulation System performance and mode of operation is substantially equivalent to the already cleared HALO90 Coagulation System (with catheter model 1520F).

    AI/ML Overview

    The provided text does not contain information about acceptance criteria or a study that proves the device meets specific acceptance criteria. The document is a 510(k) summary for the HALO® Coagulation System, which focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than presenting performance data against pre-defined acceptance criteria.

    Therefore, I cannot populate the table or provide details for the requested questions as the necessary information is not present in the given text.

    The document indicates:

    • The device is substantially equivalent to the already cleared HALO®90 Coagulation System (with catheter model 1520F).
    • The purpose of the 510(k) is to secure clearance to market based on this substantial equivalence, not based on meeting specific quantitative performance acceptance criteria from a new study.

    There is no mention of:

    • Specific acceptance criteria (e.g., sensitivity, specificity, accuracy thresholds).
    • A formal study designed to demonstrate performance against such criteria.
    • Sample sizes for test or training sets in the context of performance evaluation.
    • Expert involvement, adjudication methods, or ground truth establishment for a performance study.
    • MRMC studies or standalone algorithm performance.
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