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510(k) Data Aggregation

    K Number
    K090485
    Date Cleared
    2009-07-22

    (147 days)

    Product Code
    Regulation Number
    876.5010
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    PERCUTANEOUS SYSTEMS, INCORPORATED

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

    The Coaxial Accordion ERCP Device is intended to be used for endoscopic removal of stones in the biliary system and for contrast injection.

    Device Description

    The Coaxial Accordion ERCP Device consists of a film membrane attached onto a catheter.

    AI/ML Overview

    The Coaxial Accordion ERCP Device is a medical device intended for the endoscopic removal of stones in the biliary system and for contrast injection.

    Here's an analysis of the provided information regarding its acceptance criteria and the study proving it meets those criteria:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Performance Data (e.g., efficacy in stone removal, safety, durability)Not Required

    Explanation: The documentation explicitly states "Performance Data: Not required" for this 510(k) submission. This indicates that Percutaneous Systems, Inc. did not conduct a specific performance study with defined acceptance criteria for this device. Instead, the device's clearance was based on demonstrating substantial equivalence to predicate devices already on the market.

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

    Since a dedicated performance study was "Not required," there is no test set sample size or data provenance information provided in this submission for the Coaxial Accordion ERCP Device itself.

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

    This information is not applicable as no dedicated performance study using a test set was conducted.

    4. Adjudication Method for the Test Set

    This information is not applicable as no dedicated performance study using a test set was conducted.

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

    No. An MRMC comparative effectiveness study was not conducted as no dedicated performance study was required.

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

    No. This device is a physical medical device (biliary catheter), not an algorithm or AI product. Therefore, a standalone algorithm performance study is not applicable.

    7. The Type of Ground Truth Used

    This information is not applicable as no dedicated performance study was conducted.

    8. The Sample Size for the Training Set

    This information is not applicable as no dedicated performance study was conducted, nor is this an AI/ML device that requires a training set.

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

    This information is not applicable as no dedicated performance study was conducted, nor is this an AI/ML device.


    Summary of Device Acceptance and Study:

    The Coaxial Accordion ERCP Device gained market clearance through the 510(k) pathway by demonstrating substantial equivalence to existing predicate devices:

    • Coaxial Accordion Stone Management Device, Percutaneous Systems, Inc.
    • Fusion Extraction Balloon with Multiple Sizing, Cook Medical

    The study that proved the device met the acceptance criteria was the substantial equivalence comparison. This comparison focused on demonstrating that the Coaxial Accordion ERCP Device has the same intended use, indications for use, principles of operation, and very similar technological characteristics as the already legally marketed predicate devices. Because of this similarity, the FDA determined that a separate, dedicated performance study with specific acceptance criteria was "Not required" for this submission. The assumption of substantial equivalence implies that the new device carries the same safety and effectiveness profile as the predicate devices that have established performance.

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    K Number
    K061766
    Date Cleared
    2007-03-09

    (260 days)

    Product Code
    Regulation Number
    876.5130
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    PERCUTANEOUS SYSTEMS, INCORPORATED

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

    The Expressway Intermittent Catheter is intended to provide an intermittent pathway for draining fluids from and instilling fluids into the bladder. The device is indicated for providing lubricity during the catheter's advancement.

    Device Description

    The Expressway intermittent catheter consists of a film membrane preloaded within the lumen of a catheter.

    AI/ML Overview

    This document, K061766, is a 510(k) premarket notification for a medical device called the "Expressway Intermittent Catheter." The submission states that performance data is "Not required." This is because the device is being marketed as substantially equivalent to a legally marketed predicate device (SLIP Urology Catheter, Percutaneous Systems, Inc.) based on having the same intended use, indications for use, principles of operation, and technological characteristics.

    Therefore, the requested information regarding acceptance criteria, study details, sample sizes, expert qualifications, and ground truth establishment is not provided in this submission, as no new performance studies were deemed necessary for this type of submission.

    Here's a breakdown of why each section cannot be addressed from the provided text:

    1. A table of acceptance criteria and the reported device performance: Not provided. The submission states "Performance Data: Not required."
    2. Sample sized used for the test set and the data provenance: Not applicable, as no performance testing was required.
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable, as no performance testing was required.
    4. Adjudication method for the test set: Not applicable, as no performance testing was required.
    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 urological catheter, not an AI-assisted diagnostic tool.
    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This device is a urological catheter, not an algorithm.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable, as no performance testing was required.
    8. The sample size for the training set: Not applicable, as no 'training set' in the context of performance data would be relevant for this type of device submission.
    9. How the ground truth for the training set was established: Not applicable.
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    K Number
    K052298
    Date Cleared
    2006-12-12

    (476 days)

    Product Code
    Regulation Number
    876.5130
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    PERCUTANEOUS SYSTEMS, INCORPORATED

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

    The CYSTOGLIDE INTRODUCER SHEATH is intended to facilitate the introduction of catheters or instruments into the urethra. The CYSTOGLIDE INTRODUCER SHEATH is indicated for use as a guide for urological catheters or instruments inserted into the urethra and as a lubricious barrier between the urethral tissue and the catheter or instrument.

    Device Description

    The CYSTOGLIDE INTRODUCER SHEATH consists of a film, a sheath, a stabilizing ring, and an obturator. The sheath is isolated from the skin microflora by the ViaShield film membrane.

    AI/ML Overview

    This document is a 510(k) summary for the CYSTOGLIDE INTRODUCER SHEATH, a medical device. A 510(k) summary focuses on demonstrating substantial equivalence to a predicate device, rather than providing detailed clinical study data with specific acceptance criteria and performance metrics typically found in AI/ML device submissions.

    Therefore, the provided text does not contain the kind of detailed information requested about acceptance criteria, study design, sample sizes, expert qualifications, adjudication methods, or ground truth establishment that would be present for an AI/ML device.

    The "Performance Data" section merely states: "Performance data demonstrated no significant difference in the performance of the CYSTOGLIDE INTRODUCER SHEATH and the predicate devices." This is a qualitative statement of equivalence, not a presentation of specific metrics against predefined acceptance criteria.

    Based only on the provided text, I cannot complete the requested tables and information.

    However, I can extract the relevant information that is present:


    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance CriteriaReported Device Performance
    Not specifiedNo significant difference in performance compared to predicate devices (PSI's UPDATED SLIP Urology Introducer Sheath, Astra Tech's LoFric catheter, Rusch's MMG/O'Neil catheter).

    Explanation: The document states that "Performance data demonstrated no significant difference in the performance of the CYSTOGLIDE INTRODUCER SHEATH and the predicate devices." This is the core 'performance' claim. However, the specific acceptance criteria (e.g., a threshold for friction, ease of insertion, durability) that would define "no significant difference" are not detailed in this 510(k) summary.

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

    • Sample Size (Test Set): Not specified.
    • Data Provenance: Not specified (e.g., country of origin, retrospective/prospective).

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

    • Not applicable to this type of device submission. The device is a physical introducer sheath, not an AI/ML diagnostic tool using expert-labeled images/data.

    4. Adjudication method 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. This is not an AI/ML device.

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

    • Not applicable. This is not an AI/ML device.

    7. The type of ground truth used:

    • Not applicable in the context of AI/ML ground truth. The "ground truth" for this device would be its physical properties and clinical function (e.g., lubricity, strength, biocompatibility), which are typically assessed through bench testing and potentially limited human use studies, but not in the sense of 'ground truth' for an AI model.

    8. The sample size for the training set:

    • Not applicable. This is not an AI/ML device.

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

    • Not applicable. This is not an AI/ML device.
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    K Number
    K052048
    Device Name
    ACCORDION
    Date Cleared
    2005-09-13

    (46 days)

    Product Code
    Regulation Number
    876.4680
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    PERCUTANEOUS SYSTEMS, INCORPORATED

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

    The ACCORDION Urolgoical Occluding Guidewire is intended to be used endoscopically to entrap and remove calculi and other foreign objects from the urinary tract and to guide instrumentation within the ureteral tract.

    Device Description

    The ACCORDION Urological Occluding Guidewire consists of a film The ACCORDION Orological Other a two-part guidewire with a removable handle.

    AI/ML Overview

    The provided text is for a 510(k) premarket notification for a medical device called the "ACCORDION Urological Occluding Guidewire." This type of submission focuses on demonstrating substantial equivalence to a predicate device, rather than conducting new clinical trials for performance data.

    Therefore, the document explicitly states:

    "Performance Data Not required."

    This means there is no acceptance criteria or study data provided in this document to prove the device meets acceptance criteria in the way you are asking (e.g., through clinical performance metrics, sample sizes, expert ground truth, or comparative effectiveness studies).

    The primary purpose of this 510(k) submission is to assert that the ACCORDION Urological Occluding Guidewire is substantially equivalent to existing, legally marketed predicate devices. This equivalence is based on:

    • Same intended use: "The ACCORDION Urological Occluding Guidewire is intended to be used The ACCORDION Orological Other a two-part guidewire with a removable handle." (This sentence appears to have a transcription error, but the "Intended Use" section on the first page clarifies: "The ACCORDION Urological Occluding Guidewire is intended to be used endoscopically to entrap instrumention within the ureteral tract" and the "Indications for Use Statement" on page 4 provides a more detailed description).
    • Same indications for use: "The ACCORDION Urolgoical Occluding Guidewire is intended to be used endoscopically to entrap and remove calculi and other foreign objects from the urinary tract and to guide instrumentation within the ureteral tract."
    • Similar technological characteristics: "The ACCORDION Urological Occluding Guidewire has the same intended The ACCORDION Orologiour Orologiour Oroclading Coperation and Very similar use, Indications for doe, ans as the predicate devices. Thus, the technological charactenstics as the prodicate about - Includes devices." (Again, some transcription issues in the text, but the intent is clear).

    In the context of this 510(k) submission, the "acceptance criteria" for the device's market clearance largely revolve around demonstrating this substantial equivalence to predicate devices, rather than meeting specific performance thresholds from a de novo study.

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    K Number
    K042531
    Date Cleared
    2005-02-01

    (137 days)

    Product Code
    Regulation Number
    876.5130
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    PERCUTANEOUS SYSTEMS, INCORPORATED

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

    The UPDATED SLIP Urology Introducer Sheath is intended to facilitate the introduction of catheters or instruments into the urethra. The UPDATED SLIP Urology Introducer Sheath is indicated for use as a guide for urological catheters or instruments inserted into the urethra and as a lubricious barrier between the urethral tissue and the catheter or instrument.

    Device Description

    The UPDATED SLIP Urology Introducer Sheath consists of a membrane sheath, outer tube, stabilizing ring, and an obturator. The outer tube is pre-loaded with the membrane sheath.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for a medical device, the "UPDATED SLIP Urology Introducer Sheath." This type of submission focuses on demonstrating substantial equivalence to a predicate device, rather than conducting a detailed clinical study with acceptance criteria, sample sizes, and expert evaluations as typically seen for novel or higher-risk devices.

    Therefore, many of the requested elements for describing "acceptance criteria and the study that proves the device meets the acceptance criteria" are not applicable to this specific submission.

    Here's a breakdown of the available information:

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

    • Acceptance Criteria: Not explicitly stated as performance metrics with numerical targets. The primary "acceptance criterion" for a 510(k) is demonstrating "substantial equivalence" to a predicate device.
    • Reported Device Performance: The document states: "Performance data demonstrated no significant difference in the performance of the UPDATED SLIP Urology Sheath and the predicate device." This is a qualitative statement, not a numerical performance value against a defined criterion.
    Acceptance CriterionReported Device Performance
    Substantial Equivalence to Predicate DeviceNo significant difference in performance compared to the predicate device (PSI SLIP Urology Introducer Sheath).

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

    • Sample Size: Not specified. The document refers to "Performance data" but does not detail the nature, size, or methodology of any testing that generated this data.
    • Data Provenance: 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. This type of expert assessment to establish ground truth for a test set is not typically part of a 510(k) submission for a device like an introducer sheath, which is focused on physical and functional equivalence rather than diagnostic accuracy or specific clinical outcomes requiring expert interpretation.

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

    • Not Applicable. As no specific "test set" and expert ground truth establishment are described, there is no adjudication method.

    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. An MRMC study is relevant for diagnostic devices, particularly those involving image interpretation or AI assistance. This device is an introducer sheath, a different class of medical device, and does not involve AI or human readers in the way an MRMC study would assess.

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

    • Not Applicable. This device is not an algorithm or AI system. It is a physical medical device.

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

    • Not Applicable. For this type of device and submission, the "ground truth" equivalent would be the established performance and safety profile of the predicate device, against which the new device is compared in terms of its technological characteristics and the absence of new safety/effectiveness questions.

    8. The sample size for the training set

    • Not Applicable. Training sets are relevant for AI/machine learning models. This device is not an AI/ML product.

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

    • Not Applicable. (See point 8).

    Summary of what is known from the document regarding "performance data":

    The document explicitly states: "Performance data demonstrated no significant difference in the performance of the UPDATED SLIP Urology Sheath and the predicate device." This indicates that some form of comparative evaluation was conducted to support the claim of substantial equivalence. However, the details of what kind of performance data (e.g., mechanical strength, lubricity, insertion force, biocompatibility), how it was collected, the sample size, or the specific methodology are not provided in this summary. For a 510(k), this level of detail is typically found in the full submission, not necessarily in the brief summary provided. The focus of the 510(k) is on the device's technical characteristics and intended use being similar to a legally marketed predicate device, ensuring no new questions of safety or effectiveness are raised.

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