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510(k) Data Aggregation

    K Number
    K081739
    Date Cleared
    2008-12-03

    (167 days)

    Product Code
    Regulation Number
    876.5980
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    2-PORT THROUGH-THE-PEG (TTP) JEJUNOSTOMY TUBE KIT

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

    The 2-Port TTP Jejunostomy Tube Kit is intended to provide enteral access for decompression and delivery of nutrition and/or medication.

    Device Description

    The 2-Port TTP Jejunostomy Tube consists of a two-port device designed to be placed through a Boston Scientific gastrostomy tube to provide enteral access for decompression and delivery of nutrition and/or medication. The 2-Port TTP Jejunostomy Tube is available with a pigtail tip and in two lengths, 80cm and 105cm. It may be placed by either a pullwire (pull) or guidewire (push) The proposed device is available within a kit which contains the following: a technique. stiffening cannula with female luer fitting, a guidewire, lubricating jelly, gauze, a female-to-female luer adapter, port caps, and a retention ring.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information based on the provided text:

    Summary of Device Performance Study

    The provided text details a 510(k) submission for the 2-Port Through-The-PEG (TTP) Jejunostomy Tube Kit (referred to as EndoVive Two-Port Through The PEG (TTP) Jejunal Feeding Tube (J-Tube) Kit in the FDA letter). The submission aims to demonstrate substantial equivalence to a predicate device, the 3-Port Through-The-PEG (TTP) Jejunostomy Tube Kit (K072476).

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance CriteriaReported Device Performance
    Specifications for all components, subassemblies, and/or full devices met."In-vitro testing has been performed and all components, subassemblies, and/or full devices met the required specifications for the completed tests."
    Device is substantially equivalent to the predicate device (K072476)."Boston Scientific Corporation has demonstrated that the proposed 2-Port Through-The-PFG (TTP) Jejunostomy Tube Kit is substantially equivalent to Boston Scientific Corporation's currently marketed 3-Port Through-The-PEG (TTP) Jejunostomy Tube Kit (K072476)."

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

    • Test Set Sample Size: Not specified in the provided text. The text only mentions "in-vitro testing."
    • Data Provenance: Not specified. It's likely the in-vitro testing was conducted internally by Boston Scientific Corporation, but no country of origin or whether it was retrospective/prospective is mentioned.

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

    • Not applicable. The study involved in-vitro testing against required specifications, not human expert evaluations of a test set with ground truth.

    4. Adjudication Method for the Test Set:

    • Not applicable. As this was in-vitro testing, there was no adjudication method involving human experts.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

    • No, a MRMC comparative effectiveness study was not done. The study focused on in-vitro performance and substantial equivalence to a predicate device, not on comparing human reader performance with or without AI assistance.

    6. Standalone Performance Study (Algorithm Only Without Human-in-the-Loop):

    • This is not applicable as the device is a medical tube kit, not an algorithm or AI system. The "performance" refers to the physical and functional attributes of the device.

    7. Type of Ground Truth Used:

    • The "ground truth" for this device's performance was the "required specifications" for its components, subassemblies, and full devices established through in-vitro testing. It's based on engineering and design specifications rather than expert consensus, pathology, or outcomes data in a clinical setting.

    8. Sample Size for the Training Set:

    • Not applicable. As this is not an AI/ML device, there is no "training set."

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

    • Not applicable. There is no training set for this type of medical device.
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