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510(k) Data Aggregation

    K Number
    K092726
    Date Cleared
    2010-03-15

    (193 days)

    Product Code
    Regulation Number
    878.3300
    Why did this record match?
    Applicant Name (Manufacturer) :

    SURGICAL STRUCTURES LTD.

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

    The Mesh GPS device is intended to be used to facilitate the delivery of soft tissue prosthetics during the laparoscopic repair of hernia.

    Device Description

    The Mesh GPS facilitates the delivery of soft tissue prosthetics during the laparoscopic ventral hernia repair, by assisting surgeons with maneuvering, spreading and deploying hernia repair meshes in the abdominal cavity, resulting in easier final fixation to the abdominal wall and shortening of OR time. The device is comprised of three main components: an inflatable spreading balloon; an adaptor and an inflation unit/pump. The device's three components are sterile, single use and packed within a double pouch. The Spreading Inflatable Balloon is composed of biocompatible Thermoplastic Polyurethane (TPU). The balloon is the main component of the device which supports and facilitates the navigation and deployment of a mesh within the abdominal cavity. It is reversibly attached to the mesh using the mesh connectors, before its insertion into the body, then rolled together. Once located in the abdominal cavity it is easily spread at the desired location by inflating it using the external Inflation Pump. The balloon comes in several sizes/configurations to enable its use with a wide variety of meshes available on the market. The Inflation Tube is composed of biocompatible Thermoplastic Polyurethane (TPU). Its purpose is to transport the air from the external Inflation Pump into the Spreading balloon and inflate it and to externally grab the balloon by the suture passer and position it at the proper location within the abdominal cavity.

    AI/ML Overview

    The provided text describes the "Mesh GPS device" by Surgical Structure Ltd., intended to facilitate the delivery of soft tissue prosthetics during laparoscopic hernia repair. The document details the device's description, intended use, and the performance data submitted for its 510(k) premarket notification.

    Here's the breakdown of the acceptance criteria and study information as requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Acceptance Criteria (Implied)Reported Device Performance and Evidence
    BiocompatibilityCompliance with ISO 10993-1 and Blue Book Memo G95-1 requirements."The Mesh GPS components that contact the body were tested for biocompatibility according to ISO 10993-1 standard and Blue Book Memo G95-1 requirements." (Implies compliance was met, as no issues were raised).
    Safe and Effective Performance (Overall)The device should safely and effectively deliver, spread/deploy, facilitate attachment of mesh, and be withdrawn from the abdominal cavity without raising new safety or effectiveness issues."The Mesh GPS device underwent a full battery of bench tests and animal studies to demonstrate its safe and effective performance in delivering, spreading/deployment, facilitating the attachment of the mesh to the abdominal wall and withdrawing from the abdominal cavity." "All tests met the acceptance criteria demonstrating that the device is safe, effective, performs as intended, and is substantially equivalent to its predicates." "Animal studies conducted on pigs... revealed that mesh delivery and deployment using the Mesh GPS device is safe and effective. The procedure is simple, the delivery and deployment are effective without needing any additional activities by the surgeons."
    Mechanical Integrity/Design FeaturesDevice components connection strength/integrity, burst/over inflation resistance, withdrawal capability."Studies included performance testing as well as various mechanical testing for design features that are different from the predicate devices, e.g. device components connection strength/integrity, burst/over inflation testing, withdrawal test, performance & usability tests, etc." "All tests met the acceptance criteria..."
    Usability/Efficiency (Implied)The device should assist surgeons with maneuvering, spreading, and deploying hernia repair meshes, potentially shortening OR time and simplifying the procedure."The Mesh GPS facilitates the delivery of soft tissue prosthetics... by assisting surgeons with maneuvering, spreading and deploying hernia repair meshes in the abdominal cavity, resulting in easier final fixation to the abdominal wall and shortening of OR time." "The procedure is simple, the delivery and deployment are effective without needing any additional activities by the surgeons."
    Compatibility with Marketed MeshesAbility to be used with a wide variety of market-cleared mesh types and sizes."Tests were performed with various market-cleared mesh types and sizes using all Mesh GPS device models." "Animal studies conducted on pigs, using a wide variety of market-cleared meshes..."
    Substantial EquivalenceDemonstrating that the device is substantially equivalent to predicate devices without raising new safety or effectiveness concerns.The entire submission and the FDA's final decision imply this criterion was met. "Surgical Structure Ltd. believes that, based on the information provided in this submission, the Mesh GPS device is substantially equivalent to its predicate devices without raising any new safety and/or effectiveness concerns." (This indicates the manufacturer's belief that their data supported this criterion).

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

    • Sample Size for Test Set: Not explicitly stated in terms of a specific number of devices or animals for each test. The text uses general terms like "a full battery of bench tests and animal studies" and "various market-cleared mesh types and sizes."
    • Data Provenance:
      • Bench tests: Conducted by the manufacturer or a contracted lab. The document does not specify a country of origin beyond the manufacturer (Israel).
      • Animal Studies: Conducted on "pigs." The country of origin for these animal studies is not specified, but the manufacturer is based in Israel.
      • Retrospective or Prospective: These studies appear to be prospective as they were conducted specifically for the 510(k) submission to demonstrate the device's performance.

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

    This information is not provided in the document. The studies described are bench tests and animal studies, not human clinical trials or evaluations where expert assessment of "ground truth" in the diagnostic sense would typically be required. The "ground truth" here is the observable mechanical function and biological response (in animals).

    4. Adjudication Method for the Test Set

    This information is not applicable as the studies are bench and animal tests, not human assessments requiring adjudication (e.g., comparing multiple expert reads of medical images). The "acceptance criteria" and "performance" were based on measurable outcomes from the tests.

    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. This type of study is typically performed for diagnostic imaging devices involving human readers and AI. The Mesh GPS is a surgical assist device.

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

    This question is not fully applicable in the context of this device. The Mesh GPS is a physical medical device intended to assist a human surgeon. Its performance is intrinsically tied to human-in-the-loop operation. The "performance data" described (bench and animal tests) evaluates the device itself and its interaction with the surgeon and mesh, not an autonomous algorithm.

    7. The Type of Ground Truth Used

    The ground truth used for these studies can be generalized as:

    • Bench Test Standards/Specifications: For mechanical and biocompatibility tests, the "ground truth" is compliance with predefined engineering specifications, burst pressures, material properties, and regulatory standards (e.g., ISO 10993-1).
    • Observable Outcomes in Animal Models: For animal studies, the "ground truth" is the direct observation of successful mesh delivery, deployment, ease of use, lack of adverse events, and effective functionality within the living tissue model. This might include surgical observations, post-procedure assessment of mesh placement, and tissue response.

    8. The Sample Size for the Training Set

    This information is not applicable. The Mesh GPS is a mechanical surgical device, not an AI or machine learning algorithm that requires a "training set" in the traditional sense of data-driven model development.

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

    This information is not applicable as there is no "training set" for this type of device.

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