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510(k) Data Aggregation

    K Number
    K120416
    Date Cleared
    2012-03-27

    (46 days)

    Product Code
    Regulation Number
    878.4400
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    SPECTRUM SURGICAL SUPPLY CORP.

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

    "The Spectrum Insulation Tester checks for insulation integrity on laparoscopic instruments"

    Device Description

    Insulation Tester

    AI/ML Overview

    The information details the acceptance criteria and performance testing for a medical device called an "Insulation Tester".

    1. Table of acceptance criteria and the reported device performance

    Acceptance Criteria / Spectrum Specifications (Measured Values)Spectrum Insulation Tester Reported PerformancePredicate Device (Jac-Cell Medic K020334) PerformanceComments
    Normal (open) Batt. @ 9V - 32 - 40 mA34.5mA38.2mASpectrum lower = longer Batt. life.
    Normal (open) Batt. @ 9V - 2200 - 2400 Volts2.330 Volts2.374 VoltsSlight voltage diff. performance is same
    Normal (open) Batt. @ 7V - 32 - 40 mA34.5mA30.9mANot at 7V for long period of time. Low Battery.
    Normal (open) Batt. @ 7v - 2200 - 2400 Volts2.330 Volts2.015 VoltsSpectrum voltage stable through 7V
    Fault (short) Batt. @ 9V - 115 - 145mA132mA158mASpectrum lower longer Batt. life.
    Fault (short) Batt. @ 7V - 115 - 145 mA132mA108mANot at 7V for long period of time. Low Battery.
    Fault DetectionRed LED, SoundRed LED, SoundSpectrum & Jac-Cell Equal
    Low Battery IndicatorRed LEDRed LEDSpectrum and Jac-Cell Equal
    Detection of insufficient insulation100% success rateNot explicitly stated, but implied as predicate standardAchieved for both pinhole and abraded surface conditions. Not rejected known good insulated shafts.

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

    • Sample Size: A minimum of 30 tests were performed for each condition (pin hole, abraded surface) over 2 different time periods. In total, 180 tests were completed.
    • Data Provenance: The study simulated "real-world conditions" by modifying laparoscopic shafts. This suggests a laboratory-based, prospective testing scenario by the manufacturer, Spectrum Surgical Instruments. The country of origin of the data is not explicitly stated but can be inferred as the United States, given the company's address and submission to the FDA.

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

    This type of information is not provided in the document. The device testing relies on the physical modification of laparoscopic shafts by introducing "a small pin hole" or "abrading the surface in an area" to simulate insufficient insulation. The success or failure of detection is based on the device's output (Red LED, Sound) rather than expert interpretation of the condition.

    4. Adjudication method for the test set

    Not applicable. The "ground truth" (presence or absence of insufficient insulation) was established by physically altering the laparoscopic shafts. The device's detection capabilities (activating LED and sound) were then directly observed.

    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 done and not applicable. This document describes the performance of a standalone device (Insulation Tester), not an AI-assisted diagnostic tool or system involving human readers.

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

    Yes, a standalone performance study was done. The entire performance testing section evaluates the "Insulation Tester's" ability to autonomously detect insufficient insulation without human interpretation or intervention beyond operating the device. The device had a "100% success rate in being able to detect insufficient insulation while not rejected known good insulated laparoscopic shafts."

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

    The ground truth was simulated physical defects / known conditions. Laparoscopic shafts were intentionally modified to create "a small pin hole" or "abraded the surface in an area" to represent insufficient insulation. This provides a definitive, objective ground truth for the presence of a fault.

    8. The sample size for the training set

    Not applicable. This device is a physical instrument for detecting electrical faults, not an AI/machine learning algorithm that requires a training set.

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

    Not applicable. As stated above, this device does not utilize a training set in the context of machine learning.

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